The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Perspectives

Spotlight on N-STEMI ACS: getting the right patients the right treatment, and at the right time

EuroIntervention 2019;15:e1041-e1045. DOI: 10.4244/EIJV15I12A196

1. Department of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Cardiovascular Biomedical Research Centre, University Hospitals of Leicester Glenfield Hospital, Leicester, United Kingdom; 2. Department of Cardiovascular Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA


Background

The last three decades have borne witness to the “reperfusion revolution” in patients with ST-elevation myocardial infarction (STEMI). Widespread acceptance of the concept proposed by Reimer and Jennings in 1979 that “time is muscle” has provided the impetus for the establishment of networks and systems of care to ensure the provision of rapid reperfusion therapy to as many patients as possible.

At the same time, epidemiological trends in high-income countries have seen a decline in the incidence of STEMI and a corresponding increase in the numbers of patients with non-ST elevation myocardial infarction (...

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