Key result
Routine ECG, echo, and coronary angiography remain crucial for risk stratification in acute STEMI.
Why the study?
Mortality after acute STEMI remains high, especially in high-risk patients, and additional tools during emergency care may improve risk stratification.
This review outlines the role of common non-invasive and invasive investigations in the risk stratification of patients presenting with acute STEMI.
ST-elevation myocardial infarction (STEMI) is one of the leading causes of mortality and morbidity worldwide. While the survival after acute STEMI has considerably improved, mortality rate still remains high, especially in high-risk patients. Survival after acute STEMI is influenced by clinical characteristics such as age as well as the presence of comorbidities. However, during emergency care increasing access to tools such as the electrocardiogram, chest x-ray and echocardiography can provide additional information helping to further risk stratify patients. In the invasive setting, this can also include coronary angiography, invasive hemodynamic recordings and angiographic assessments of coronary flow and myocardial perfusion. We outline the common investigations used in STEMI and their role in risk assessment of patients with an acute STEMI.
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Ahmed et al. (2016) conducted a review in ST-elevation myocardial infarction (STEMI). Risk assessment investigations (ECG, echocardiography, coronary angiography) was evaluated. Common investigations including electrocardiogram, echocardiography, and coronary angiography play a crucial role in the risk stratification and assessment of patients with acute STEMI.
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