What is new in 2017 STEMI Guidelines?

    What is new in 2017 STEMI Guidelines. BMS = bare metal stent; DES = drug eluting stent; IRA = infarct related artery; i.v. = intravenous; LDL = low-density lipoprotein; PCI = percutaneous coronary intervention; SaO2 = arterial oxygen saturation; STEMI = ST-elevation myocardial infarction; TNK-tPA = Tenecteplase tissue plasminogen activator.

aOnly for experienced radial operators.

bBefore hospital discharge (either immediate or staged).

cRoutine thrombus aspiration (bailout in certain cases may be considered).

dIn 2012 early discharge was considered after 72h, in 2017 early discharge is 48–72h.

eIf symptoms or haemodynamic instability IRA should be opened regardless time from symptoms onset.

In left and mid panels, below each recommendation, the most representative trial (acronym and reference) driving the indication is mentioned.