CardiologyEmergency Medicine
STEMI & Reperfusion
ESC 2023 — STEMI diagnosis, primary PCI vs thrombolysis decision-making, antiplatelet/anticoagulation, post-MI care.
Source: ESC 2023 ACS Guidelines; NICE NG185
Step 1 of ~6
info
Diagnose STEMI
12-lead ECG within 10 min of first medical contact. STEMI criteria: new ST elevation ≥1 mm in ≥2 contiguous leads (≥2 mm in V2–V3 men <40, ≥1.5 mm women), new LBBB with concordant ST changes (Sgarbossa), posterior MI (ST↓ V1–V3 + dominant R), de Winter T waves, hyperacute T waves. ABCDE; IV access × 2; cardiac monitor.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only. Always apply local guidelines and clinical judgement.