Infarctus et Syndrome coronarien aigu - SCA

Fourth universal definition of myocardial infarction (2018). Eur Heart J. 2018 Aug 25. doi: 10.1093/eurheartj/ehy462. [Epub ahead of print]

Translating the Translation: What Clinicians Should Know About the Fourth Universal Definition of Myocardial Infarction.Journal of the American College of Cardiology 2018 November 27, 72 (21): 2668-2670

Part 9: Acute Coronary Syndromes, 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Circulation. 2015;132:S483-S500 Originally published October 14, 2015

Acute Coronary Syndromes Algorithm

NSTEMI

2014 AHA/ACC Guideline for the Management of Patients With Non–ST-Elevation Acute Coronary Syndromes, A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, Circulation. 2014;130:e344-e426

Algorithme

2018 ESC/EACTS Guidelines on myocardial revascularization. Eur J Cardiothorac Surg. 2018 Aug 27. doi: 10.1093/ejcts/ezy289. [Epub ahead of print]

Selection of non-ST-elevation acute coronary syndrome treatment strategy and timing according to initial risk stratification.

Non STEMI ACS Pathway, Champlain LHIN, Institut de cardiologie d'Ottawa

Invasive versus conservative strategy in patients aged 80 years or older with non-ST-elevation myocardial infarction or unstable angina pectoris (After Eighty study): an open-label randomised controlled trial, The Lancet, Volume 387, No. 10023, p1057–1065, 12 March 2016

Interpretation: In patients aged 80 years or more with NSTEMI or unstable angina, an invasive strategy is superior to a conservative strategy in the reduction of composite events. Efficacy of the invasive strategy was diluted with increasing age (after adjustment for creatinine and effect modification). The two strategies did not differ in terms of bleeding complication

STEMI

2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC), European Heart Journal, Volume 39, Issue 2, 7 January 2018, Pages 119–177, https://doi.org/10.1093/eurheartj/ehx393, Published: 26 August 2017

Colchicine

Efficacy and Safety of Low-Dose Colchicine after Myocardial Infarction, NEJM, November 16, 2019, DOI: 10.1056/NEJMoa1912388

ECG - Épreuve d'effort

False positive results of treadmill exercise ECG - we should minimize the unnecessary referrals to invasive coronary angiography, T. Silva R. Ramos P. Rio C. Barbosa P. Pinho J. Labandeiro M. Nogueira G. Portugal R. Cruz Ferreira, European Heart Journal, Volume 34, Issue suppl_1, 1 August 2013, P3375

aVR – the forgotten lead. Exp Clin Cardiol. 2010 Summer; 15(2): e36–e44.

Oxygène

Oxygen Therapy in Patients with Acute Myocardial Infarction: A Systemic Review and Meta-Analysis. Am J Med. 2018 Jun;131(6):693-701. doi: 10.1016/j.amjmed.2017.12.027. Epub 2018 Mar 5.

CONCLUSIONS: This meta-analysis confirms the lack of benefit of routine oxygen therapy in patients with acute myocardial infarction with normal oxygen saturation levels.

Troponines

Myocardial Infarction Can Be Safely Excluded by High-sensitivity Troponin I Testing 3 Hours After Emergency Department Presentation. Peacock WF, Christenson R, Diercks DB, Fromm C, Headden GF, Hogan CJ, Kulstad EB, LoVecchio F, Nowak RM, Schrock JW, Singer AJ, Storrow AB, Straseski J, Wu AHB, Zelinski DP. Acad Emerg Med. 2020 Mar 27. doi: 10.1111/acem.13922. [Epub ahead of print]

True 99th centile of high sensitivity cardiac troponin for hospital patients: prospective, observational cohort study, BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l729 (Published 13 March 2019)

Infarctus du myocarde: le seuil décisionnel de la troponine ultrasensible à nouveau contesté, Medscape, 1er avril 2019