TY - JOUR T1 - The acute management of ST-segment-elevation myocardial infarction  JF - Clinical Medicine JO - Clin Med SP - 362 LP - 367 DO - 10.7861/clinmedicine.15-4-362 VL - 15 IS - 4 AU - Serena F Carville AU - Robert Henderson AU - Huon Gray Y1 - 2015/08/01 UR - http://www.rcpjournals.org/content/15/4/362.abstract N2 - Acute ST-segment-elevation myocardial infarction (STEMI) results from complete obstruction to coronary artery blood flow accompanied by the appearance of ST-segment-elevation on the electrocardiogram. Emergency treatment is required to restore coronary perfusion, thereby limiting the extent of damage to the myocardium and the likelihood of early death or future heart failure. This concise guideline summarises key recommendations from the National Institute for Health and Care Excellence clinical guideline on acute management of STEMI (CG167), of relevance to all healthcare professionals involved. Guidance is presented on choice of reperfusion strategies, procedural aspects, use of additional drugs before and alongside reperfusion therapies, and treatment of patients who are unconscious or in cardiogenic shock. ER -