RT Journal Article SR Electronic T1 The acute management of ST-segment-elevation myocardial infarction  JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 362 OP 367 DO 10.7861/clinmedicine.15-4-362 VO 15 IS 4 A1 Serena F Carville A1 Robert Henderson A1 Huon Gray YR 2015 UL http://www.rcpjournals.org/content/15/4/362.abstract AB 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.