New guidelines on primary PCI for patients with STEMI: changing insights

E.E Van Der Wall

doi:10.1007/s12471-015-0780-8

Abstract

Recently, the American College of Cardiology, American Heart Association, and Society for Cardiovascular Angiography and Interventions (ACC/AHA/SCAI) have updated their guidelines on primary percutaneous coronary intervention (PCI) for patients with ST-segment-elevation myocardial infarction (STEMI). These organisations have made several remarkable changes from previous recommendations. The new guidelines were published in the Journal of the American College of Cardiology in October 2015 [1].

Highlights

The background for the 2015 focused update was novel findings from clinical trials presented at the major cardiology congresses from 2013 to 2015 and new information from other peer-reviewed studies published up to August 2015
The scope of the 2015 focused update was restricted to two main areas: 1) multi-vessel percutaneous coronary intervention (PCI), and 2) thrombus aspiration in patients with segment-elevation myocardial infarction (STEMI) undergoing primary PCI
The 2013 recommendation was Class III (Harm), indicating that PCI should not be performed in a non-infarct artery at the time of primary PCI in patients with STEMI who are haemodynamically stable (Level of Evidence B)

Summary

Introduction

The background for the 2015 focused update was novel findings from clinical trials presented at the major cardiology congresses from 2013 to 2015 and new information from other peer-reviewed studies published up to August 2015. The scope of the 2015 focused update was restricted to two main areas: 1) multi-vessel PCI, and 2) thrombus aspiration in patients with STEMI undergoing primary PCI. The 2013 recommendation was Class III (Harm), indicating that PCI should not be performed in a non-infarct artery at the time of primary PCI in patients with STEMI who are haemodynamically stable (Level of Evidence B).

Results

Conclusion