Chest Pain / Angina Pectoris: Difference between revisions
→ST elevated Myocardial Infarct
Secretariat (talk | contribs) |
|||
| Line 110: | Line 110: | ||
A pitfall concerning elevated Troponin I can be patients with renal failure or pulmonary embolism.<cite>Thygesen</cite> Although cardiac markers are helpful for confirming the diagnosis reperfusion should not always wait till the cardiac markers are known. | A pitfall concerning elevated Troponin I can be patients with renal failure or pulmonary embolism.<cite>Thygesen</cite> Although cardiac markers are helpful for confirming the diagnosis reperfusion should not always wait till the cardiac markers are known. | ||
==ST elevated Myocardial Infarct== | ===ST elevated Myocardial Infarct=== | ||
Initial treatment of STEMI is relief of ischemic pain, stabilize the hemodynamic status and reduce the ischemia as quickly as possible by fibrinolysis or primary percutaneous coronary intervention (PCI). Meanwhile other measures as continuous cardiac monitoring, oxygen and intravenous access are necessary to guarantee the safety of the patient.<cite>Antman</cite> | Initial treatment of STEMI is relief of ischemic pain, stabilize the hemodynamic status and reduce the ischemia as quickly as possible by fibrinolysis or primary percutaneous coronary intervention (PCI). Meanwhile other measures as continuous cardiac monitoring, oxygen and intravenous access are necessary to guarantee the safety of the patient.<cite>Antman</cite> | ||
Rapid revascularisation is essential to minimize the impact of the myocardial | Rapid revascularisation is essential to minimize the impact of the myocardial inf'''Bold text'''arction and thereby reduce mortality. In the first hours after symptom onset the amount of salvageable myocardium by reperfusion is greatest. <cite>Anderson2</cite>, <cite>Bassand</cite> | ||
Revascularisation can be achieved by fibrinolysis or PCI. | Revascularisation can be achieved by fibrinolysis or PCI. | ||