Key result
This review highlights the progress in STEMI care, emphasizing primary PCI as the preferred reperfusion method, while identifying remaining challenges in complex patient populations.
Why the study?
Despite progress in STEMI care, challenges remain for patients with cardiogenic shock, out-of-hospital cardiac arrest, expected reperfusion delays >120 min, in-hospital STEMI, and Covid-19 infection.
Optimized regional STEMI systems of care with standardized protocols are essential, but targeted strategies are needed for high-risk populations such as those with cardiogenic shock, cardiac arrest, or concurrent Covid-19 infection.
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Supports primary PCI emphasis in STEMI systems; leaves open targeted strategies for high-risk subgroups including shock and arrest.
Yıldız et al. (2021) conducted a review in ST-segment elevation myocardial infarction (STEMI). STEMI care and primary percutaneous coronary intervention (PCI) was evaluated. This review highlights the progress in STEMI care, emphasizing primary PCI as the preferred reperfusion method, while identifying remaining challenges in complex patient populations.
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