Change in the way heart attacks will be treated now

Health Care Comments Off

The guidelines for primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) have been updated to reflect two major findings from recent trials.

• PCI of a non-infarct artery is now acceptable for some STEMI patients with multivessel disease. In previous guidelines, PCI of non-infarct arteries had been considered unsafe.

• Routine thrombectomy prior to primary PCI for stent implantation is now deemed to have no benefit, though the guideline leaves some room for selective and bailout thrombectomy. Previously, thrombectomy had been deemed reasonable in these patients.

(Journal of the American College of Cardiology, Circulation, and Catheterization and Cardiovascular Interventions)