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KMID : 0882420180930010025
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Korean Journal of Medicine
2018 Volume.93 No. 1 p.25 ~ p.32
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The 2017 Update of the Clinical Guidelines for ST?Segment Elevation Myocardial Infarction of the European Society of Cardiology
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Bae Jang-Wahn
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Abstract
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The 2017 Clinical Guidelines for ST-segment elevation myocardial infarction of the European Society of Cardiology updated many important aspects of the pre-hospital phase, the selection of a reperfusion strategy, interventional and pharmacological treatment, and patient quality assessment. The principal changes are a clear definition of the first medical contact, elimination of the door-to-balloon time from consideration, recommended radial access intervention, a recommendation that drug-eluting stents should be preferred to bare metal stents, recommended complete revascularization during hospitalization, and early discharge of selected patients. Routine manual thrombus aspiration and oxygen supplementation for patients who are not hypoxemic are now discouraged.
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KEYWORD
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ST segment elevation myocardial infarction, Practice guideline, Emergency medical services, Percutaneous coronary intervention, Myocardial reperfusion
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