domenica 16 dicembre 2007

STEMI: nuove linee guida

L'American College of Cardiology e l'American Heart Association hanno aggiornato le linee guida del 2004 per la gestione della sindrome coronarica acuta a ST sopraelevato.
Tra l'altro, da sottolineare, l'aggiunta del Clopidogrel all'aspirina e la valutazione dei tempi per scegliere tra trombolisi e PTCA primaria.
Qui il link

ACC and AHA Update STEMI Guidelines

The American College of Cardiology and the American Heart Association have updated their 2004 guidelines for managing ST-segment-elevation myocardial infarction.

The update, released online in the Journal of the American College of Cardiology, offers charts listing how recommendations have changed.

The latest guidelines emphasize adding clopidogrel to aspirin and the need for speedy thrombolysis when patients cannot get timely percutaneous coronary intervention. STEMI patients arriving at a hospital without PCI capability should receive fibrinolytic therapy within 30 minutes unless they can be transferred to a PCI center and receive treatment within 90 minutes of their first medical contact

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