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https://litfl.com/stemi-management/#:~:text=All%20patients%20who%20present%20within%2012%20hours%20of,in%20selected%20cases%20when%3A%20There%20are%20ongoing%20symptoms
https://litfl.com/stemi-management/
All patients who present within 12 hours of symptom onset of STEMI should be considered for a reperfusion strategy, unless they have severe co-morbidities. Reperfusion is not routinely recommended in patients who present more than 12 hours after symptom onset. It may be considered however in selected cases when: There are ongoing symptoms
https://www.cardioguide.ca/stemi/
STEMI + Symptom duration < 12hrs + ineligible for thrombolysis (Class I) STEMI (irrespective of symptom duration) if one of: (Class I) Cardiogenic shock; Acute severe heart failure; STEMI + symptom duration >12 hrs + indicators of ischemia or electrical/hemodynamic instability (Class IIa) CCS 2013 STEMI Guidelines
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371948/
ESC guideline strongly recommends patients who come with the clinical presentation of STEMI within 12 hours of initial symptom presentation and with persistent ST-segment elevation or new or presumed new left bundle branch block to undergo early invasive (PCI) or pharmacological reperfusion (fibrinolysis).
https://www.ncbi.nlm.nih.gov/books/NBK532281/
An acute ST-elevation myocardial infarction (STEMI) is an event in which transmural myocardial ischemia results in myocardial injury or necrosis. The current 2018 clinical definition of myocardial infarction (MI) requires the confirmation of the myocardial ischemic injury with abnormal cardiac biomarkers. It is a clinical syndrome involving myocardial ischemia, EKG …
https://www.healio.com/cardiology/learn-the-heart/cardiology-review/topic-reviews/coronary-artery-disease-stemi/treatment-medical
Treatment - STEMI Medical Therapy. Initial medical therapy during STEMI consists of oxygen administration, antiplatelet therapy (aspirin, thienopyridines and glycoprotein IIb/IIIa inhibitors ...
https://nurseyourownway.com/2016/04/27/st-what-understand-myocardial-ischaemic-ecg-changes/
Pathological Q waves may develop within 1 to 2 hours of the onset of acute myocardial infarction symptoms, though they often take 12 hours and occasionally up to 24 hours to appear Pathological Q waves without ST elevation, ST depression and/or T wave inversion indicate an OLD myocardial infarction – that means it has happened in the past at some point!
https://www.heart.org/-/media/data-import/downloadables/d/c/7/ekg-in-stemi-ucm_497584.pdf
seven (12 per cent false positive). Among an additional 20 patients without angiographic features of thrombosis, a thrombus was discovered in five (25 per cent false negative). Thus, total coronary occlusion is frequent during the early hours of transmural infarction and decreases in frequency during the initial 24 hours, suggesting that
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