Arq. Bras. Cardiol. 2019; 112(4): 408-409
Time is Muscle
DOI: 10.5935/abc.20190059
This Short Editorial is referred by the Research article "Comparative Analysis between Transferred and Self-Referred STEMI Patients Undergoing Primary Angioplasty".
Before the 80’s, the treatment of patients with ST–segment elevation myocardial infarction (STEMI) had as main goals the control of pain, arrhythmia and reduction of cardiac work, aiming to limit the extent of myocardial necrosis. These measures were partially effective, but the morbidity and mortality of acute myocardial infarction (AMI) remained high.
From the findings of Dewood, angiographically showing the presence of coronary occlusion by a thrombus in the culprit artery of the STEMI, strategies of reperfusion have emerged both thrombolytic therapy and primary percutaneous transluminal coronary angioplasty (PCI). The treatment of STEMI changes from contemplation to intervention.
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