Welcome to the “2013″ Guidelines for management of STEMI !

Guidelines are meant for simplifying  cardiologist’s life  as well as  ameliorating   patient suffering  . It should also  ensure  improving overall  outcome   with  efficient  use of human resources and  economy . These guidelines  are written from sophisticated centers  mainly for consumption  in developed countries .Though core  concepts will be same , many recommendations are neither possible nor desirable  at the exact point of delivery  in  less developed countries . Please remember these guidelines are not binding on you .Physician discretion is the ultimate principle in medicine. So ,  let us read these guidelines apply our mind and try to  indigenise . Get maximum out of it  for the respective population . Some  of the highlights in this 2013  guidelines 1. Therapeutic hypothermia should be started as soon as possible in comatose patients with STEMI and out-of-hospital cardiac arrest caused by ventricular fibrillation or pulseless ventricular tachycardia, including patients who undergo primary PCI.31–33 (Level of Evidence: B) 2 . Presumed or New onset  LBBB is no longer a Indication for emergency reperfusion 3 . Indication of Primary PCI has the following modification Reference http://circ.ahajournals.org/content/early/2012/12/17/CIR.0b013e3182742cf6.full.pdf+html
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Cardiology -guidelines cardiology -Therapeutics STEMI-Primary PCI Tutorial in clinical cardiology Uncategorized 2013 STEMI AHA ACC Guidelines Current stemi guidelines New stemi guidelines 2013 Source Type: blogs