ACUTE MYOCARDIAL-INFARCTION - RECOMMENDATIONS FOR MEDICAL-MANAGEMENT AND PRIMARY ANGIOPLASTY

Medical therapy of acute MI has resulted in impressive reductions in m ortality over the past 15 years. This decline has been driven by large , randomized, controlled trials and the rapid incorporation of therapi es used in these studies into clinical practice. Thus, when treating a cute MI, it is essential to understand appropriate timing in the use o f ACE inhibitors and how to use heparin in conjunction with TPA. It is also important to recognize the potential detrimental effects of calc ium channel blockers and of thrombolytic agents in patients with isola ted ST-segment depression, Primary PTCA may be considered when experie nced personnel are available.