November 24th, 2009
2009 AHA/ACC Updated STEMI Guidelines Released
Richard A. Lange, MD, MBA
The release of a new update to the STEMI guidelines was announced at the AHA Scientific Sessions. Guidelines committee members report that the update incorporates evidence from key trials that have emerged over the past two years. Changes include a greater emphasis on organized systems of emergency care, triage and transfer for PCI, and the possible roles of stenting the left main, thrombectomy, and fractional flow reserve. Medication updates include prasugrel as a possible alternative to clopidogrel and the use of bivalirudin, with or without heparin pretreatment, for primary PCI.
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