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ST Segment Elevation Myocardial Infarction

MedGen UID:
906421
Concept ID:
C1536220
Disease or Syndrome
Synonyms: ST Elevated Myocardial Infarction; ST Elevation Myocardial Infarction; STEMI

Definition

A clinical syndrome defined by MYOCARDIAL ISCHEMIA symptoms; persistent elevation in the ST segments of the ELECTROCARDIOGRAM; and release of BIOMARKERS of myocardial NECROSIS (e.g., elevated TROPONIN levels). ST segment elevation in the ECG is often used in determining the treatment protocol (see also NON-ST ELEVATION MYOCARDIAL INFARCTION). [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVST Segment Elevation Myocardial Infarction

Professional guidelines

PubMed

Byrne RA, Rossello X, Coughlan JJ, Barbato E, Berry C, Chieffo A, Claeys MJ, Dan GA, Dweck MR, Galbraith M, Gilard M, Hinterbuchner L, Jankowska EA, Jüni P, Kimura T, Kunadian V, Leosdottir M, Lorusso R, Pedretti RFE, Rigopoulos AG, Rubini Gimenez M, Thiele H, Vranckx P, Wassmann S, Wenger NK, Ibanez B; ESC Scientific Document Group
Eur Heart J 2023 Oct 12;44(38):3720-3826. doi: 10.1093/eurheartj/ehad191. PMID: 37622654
Atwood J
Emerg Med Clin North Am 2022 Nov;40(4):693-706. doi: 10.1016/j.emc.2022.06.008. PMID: 36396216
Bhatt DL, Lopes RD, Harrington RA
JAMA 2022 Feb 15;327(7):662-675. doi: 10.1001/jama.2022.0358. PMID: 35166796

Recent clinical studies

Etiology

Frampton J, Ortengren AR, Zeitler EP
Yale J Biol Med 2023 Mar;96(1):83-94. Epub 2023 Mar 31 doi: 10.59249/LSWK8578. PMID: 37009192Free PMC Article
Shah T, Kapadia S, Lansky AJ, Grines CL
Curr Cardiol Rep 2022 May;24(5):529-540. Epub 2022 Mar 14 doi: 10.1007/s11886-022-01676-7. PMID: 35286662
Jiménez-Méndez C, Díez-Villanueva P, Alfonso F
Rev Cardiovasc Med 2021 Sep 24;22(3):779-786. doi: 10.31083/j.rcm2203084. PMID: 34565076
Holm M, Tornvall P, Henareh L, Jensen U, Golster N, Alström P, Santos-Pardo I, Witt N, Fedchenko N, Venetsanos D, Beck O, van der Linden J
J Am Heart Assoc 2019 Jan 22;8(2):e010152. doi: 10.1161/JAHA.118.010152. PMID: 30636504Free PMC Article
King SB 3rd
JACC Cardiovasc Interv 2015 Jan;8(1 Pt B):228. doi: 10.1016/j.jcin.2014.11.001. PMID: 25616931

Diagnosis

Nohria R, Viera AJ
Am Fam Physician 2024 Jan;109(1):34-42. PMID: 38227869
Atwood J
Emerg Med Clin North Am 2022 Nov;40(4):693-706. doi: 10.1016/j.emc.2022.06.008. PMID: 36396216
Mitsis A, Gragnano F
Curr Cardiol Rev 2021;17(4):e230421189013. doi: 10.2174/1573403X16999201210195702. PMID: 33305709Free PMC Article
King SB 3rd
JACC Cardiovasc Interv 2015 Jan;8(1 Pt B):228. doi: 10.1016/j.jcin.2014.11.001. PMID: 25616931
Jeremias A, Gibson CM
Ann Intern Med 2005 May 3;142(9):786-91. doi: 10.7326/0003-4819-142-9-200505030-00015. PMID: 15867411

Therapy

Warach SJ, Dula AN, Milling TJ Jr
Stroke 2020 Nov;51(11):3440-3451. Epub 2020 Oct 13 doi: 10.1161/STROKEAHA.120.029749. PMID: 33045929Free PMC Article
Souza Júnior JM, Kulchetscki RM, Linhares Filho JPP, Lima EG, Serrano Junior CV
Rev Assoc Med Bras (1992) 2018 Sep;64(9):783-786. doi: 10.1590/1806-9282.64.09.783. PMID: 30672997
Ibáñez B, Heusch G, Ovize M, Van de Werf F
J Am Coll Cardiol 2015 Apr 14;65(14):1454-71. doi: 10.1016/j.jacc.2015.02.032. PMID: 25857912
Yeh RW, Jang IK
Am Heart J 2006 Jun;151(6):1131-8. doi: 10.1016/j.ahj.2005.09.002. PMID: 16781211
Keeley EC, Boura JA, Grines CL
Lancet 2003 Jan 4;361(9351):13-20. doi: 10.1016/S0140-6736(03)12113-7. PMID: 12517460

Prognosis

Liao BY, Lee MAW, Dicker B, Todd VF, Stewart R, Poppe K, Kerr A
Open Heart 2022 Jan;9(1) doi: 10.1136/openhrt-2021-001868. PMID: 35086917Free PMC Article
Faroux L, Lhermusier T, Vincent F, Nombela-Franco L, Tchétché D, Barbanti M, Abdel-Wahab M, Windecker S, Auffret V, Campanha-Borges DC, Fischer Q, Muñoz-Garcia E, Trillo-Nouche R, Jorgensen T, Serra V, Toggweiler S, Tarantini G, Saia F, Durand E, Donaint P, Gutierrez-Ibanes E, Wijeysundera HC, Veiga G, Patti G, D'Ascenzo F, Moreno R, Hengstenberg C, Chamandi C, Asmarats L, Hernandez-Antolin R, Gomez-Hospital JA, Cordoba-Soriano JG, Landes U, Jimenez-Diaz VA, Cruz-Gonzalez I, Nejjari M, Roubille F, Van Belle É, Armijo G, Siddiqui S, Costa G, Elsaify S, Pilgrim T, le Breton H, Urena M, Muñoz-Garcia AJ, Sondergaard L, Bach-Oller M, Fraccaro C, Eltchaninoff H, Metz D, Tamargo M, Fradejas-Sastre V, Rognoni A, Bruno F, Goliasch G, Santaló-Corcoy M, Jimenez-Mazuecos J, Webb JG, Muntané-Carol G, Paradis JM, Mangieri A, Ribeiro HB, Campelo-Parada F, Rodés-Cabau J
J Am Coll Cardiol 2021 May 4;77(17):2187-2199. doi: 10.1016/j.jacc.2021.03.014. PMID: 33926655
Dong G, Huang A, Liu L
Eur J Clin Invest 2021 Mar;51(3):e13386. Epub 2020 Sep 25 doi: 10.1111/eci.13386. PMID: 32810283
Reinstadler SJ, Stiermaier T, Eitel C, Fuernau G, Saad M, Pöss J, de Waha S, Mende M, Desch S, Metzler B, Thiele H, Eitel I
Circ Cardiovasc Imaging 2018 Feb;11(2):e006955. doi: 10.1161/CIRCIMAGING.117.006955. PMID: 29391346
Gulalp B, Karagun O, Tekin A, Benli S
J Emerg Med 2013 Jan;44(1):58-60. Epub 2012 Feb 1 doi: 10.1016/j.jemermed.2011.06.128. PMID: 22305150

Clinical prediction guides

Merenciano-González H, Marcos-Garcés V, Gavara J, Pedro-Tudela A, Lopez-Lereu MP, Monmeneu JV, Perez N, Rios-Navarro C, de Dios E, Gabaldón-Pérez A, Albiach C, Racugno P, Bonanad C, Canoves J, Chorro FJ, Bodi V
Sci Rep 2022 Dec 17;12(1):21813. doi: 10.1038/s41598-022-26082-5. PMID: 36528716Free PMC Article
Choi KH, Dai N, Li Y, Kim J, Shin D, Lee SH, Joh HS, Kim HK, Jeon KH, Ha SJ, Kim SM, Jang MJ, Park TK, Yang JH, Song YB, Hahn JY, Doh JH, Shin ES, Choi SH, Gwon HC, Lee JM
JACC Cardiovasc Interv 2021 Aug 9;14(15):1670-1684. doi: 10.1016/j.jcin.2021.05.027. PMID: 34353599
Cusmà-Piccione M, Longobardo L, Oteri A, Manganaro R, Di Bella G, Carerj S, Khandheria BK, Zito C
J Cardiovasc Med (Hagerstown) 2018 Nov;19(11):624-632. doi: 10.2459/JCM.0000000000000707. PMID: 30234685
Bulluck H, Dharmakumar R, Arai AE, Berry C, Hausenloy DJ
Circulation 2018 May 1;137(18):1949-1964. doi: 10.1161/CIRCULATIONAHA.117.030693. PMID: 29712696Free PMC Article
Namana V, Gupta SS, Abbasi AA, Raheja H, Shani J, Hollander G
Cardiovasc Revasc Med 2018 Jan;19(1 Pt A):43-50. Epub 2017 Jul 14 doi: 10.1016/j.carrev.2017.07.009. PMID: 28822687

Recent systematic reviews

Faro DC, Laudani C, Agnello FG, Ammirabile N, Finocchiaro S, Legnazzi M, Mauro MS, Mazzone PM, Occhipinti G, Rochira C, Scalia L, Spagnolo M, Greco A, Capodanno D
JACC Cardiovasc Interv 2023 Oct 9;16(19):2347-2364. doi: 10.1016/j.jcin.2023.07.043. PMID: 37821180
Albuquerque F, Gomes DA, Ferreira J, de Araújo Gonçalves P, Lopes PM, Presume J, Teles RC, de Sousa Almeida M
Clin Res Cardiol 2023 Sep;112(9):1322-1330. Epub 2023 Jun 19 doi: 10.1007/s00392-023-02235-y. PMID: 37337010
Bainey KR, Engstrøm T, Smits PC, Gershlick AH, James SK, Storey RF, Wood DA, Mehran R, Cairns JA, Mehta SR
JAMA Cardiol 2020 Aug 1;5(8):881-888. doi: 10.1001/jamacardio.2020.1251. PMID: 32432651Free PMC Article
Qiao J, Pan L, Zhang B, Wang J, Zhao Y, Yang R, Du H, Jiang J, Jin C, Xiong E
J Am Heart Assoc 2017 Mar 8;6(3) doi: 10.1161/JAHA.116.004838. PMID: 28275065Free PMC Article
Sterling LH, Filion KB, Atallah R, Reynier P, Eisenberg MJ
Int J Cardiol 2017 Feb 1;228:295-302. Epub 2016 Nov 9 doi: 10.1016/j.ijcard.2016.11.133. PMID: 27866018

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