ACC GUIDELINES Bundle

ST-Elevation Myocardial Infarction (STEMI) (ACCF Bundle)

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  Abbreviations ACE, angiotensin-converting enzyme; ACS, acute coronary syndrome; ACT, activated clotting time; AF, atrial fibrillation; aPTT, activated partial thromboplastin time; ARB, angiotensin receptor blocker; AV, atrioventricular; BMS, bare-metal stent; BP, blood pressure; CABG, coronary artery bypass graft; COR, Class of Recommendation; CPR, cardiopulmonary resuscitation; CrCl, creatinine clearance; D2B, door-to-balloon (device); DAPT, dual antiplatelet therapy; DBP, diastolic blood pressure; DES, drugeluting stent; DIDO, door-in–door-out; ECG, electrocardiogram/electrocardiographic; EF, ejection fraction; EMS, emergency medical services; FMC, first medical contact; GP, glycoprotein; HF, heart failure; IABP, intra-aortic balloon counterpulsation; ICD, implantable cardioverter-defibrillator; ICH, intracranial hemorrhage; LBBB, left bundlebranch block; LDL, low-density lipoprotein; LOE, Level of Evidence; LV, left ventricular; LVEF, left ventricular ejection fraction; MI, myocardial infarction; PCI, percutaneous coronary intervention; RV, right ventricular; SBP, systolic blood pressure; SCD, sudden cardiac death; STEMI, ST-elevation myocardial infarction; TIMI, Thrombolysis In Myocardial Infarction; UFH, unfractionated heparin; VF, ventricular fibrillation; VT, ventricular tachycardia Source O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2012; pii: S0735-1097 O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2012 Dec 17. [Epub ahead of print] Disclaimer This Guideline attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. This Guideline should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. The ultimate judgment concerning the propriety of any course of conduct must be made by the clinician after consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool. STE011302d 106 Commerce Street, Suite 105 Lake Mary, FL 32746  TEL: 407.878.7606 • FAX: 407.878.7611 For additional copies: info@GuidelineCentral.com Copyright © 2013 All rights reserved

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