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Acute coronary syndrome is subdivided in three scenarios depending primarily on the presence of electrocardiogram (ECG) changes and blood test results (a change in cardiac biomarkers such as troponin levels): [4] ST elevation myocardial infarction (STEMI), non-ST elevation myocardial infarction (NSTEMI), or unstable angina. [5]
Door-to-balloon is a time measurement in emergency cardiac care (ECC), specifically in the treatment of ST segment elevation myocardial infarction (or STEMI). The interval starts with the patient's arrival in the emergency department, and ends when a catheter guidewire crosses the culprit lesion in the cardiac cath lab.
Since 2006, the American College of Cardiology and the American Heart Association have worked to implement a national designation of "STEMI Receiving Center" across the U.S., much like the certifications of trauma centers. [1] STEMI patients account for over 400,000 of all Americans with MI. [2] [3]
The cholesterol guidelines were last updated in 2013. [28] In 2020 and 2021, the annual flagship meeting of the organization was held virtually owing to the COVID-19 pandemic and resumed as an in-person conference in 2022. [29] In June 2024, the American Heart Association celebrated its 100 year anniversary of its founding. [30]
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Diagnosis is clear-cut if ECGs show elevation of the "ST segment", which in the context of severe typical chest pain is strongly indicative of an acute myocardial infarction (MI); this is termed a STEMI (ST-elevation MI) and is treated as an emergency with either urgent coronary angiography and percutaneous coronary intervention (angioplasty ...