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A STEMI is a very serious heart attack where one of the hearts major arteries is blocked. It can be a life-threatening event. From your arrival at the hospital until the hearts blocked artery is opened should be just 90 minutes, so the entire cardiac team must work together very quickly.
In-hospital mortality of unselected patients with STEMI ranges from 4 to 12%. Mortality at one-year follow-up is approximately 10% [3,4]. Primary PCI has widely shown to be a life-saving procedure in the STEMI setting.
STEMI occurs when one of the coronary arteries becomes completely blocked, cutting off the flow of oxygen-rich blood to a section of the heart. STEMI is a life-threatening condition. If you suspect you or someone else is having a heart attack, call 9-1-1 and wait for emergency help to arrive.
Anticoagulation and additional antiplatelet agents Most patients with STEMI receive treatment with an anticoagulant and a P2Y12 inhibitor. However, the approach to the use and selection of these agents is determined by the reperfusion strategy and other patient characteristics.
A heart attack with a completely blocked coronary artery is called a STEMI. STEMI stands for ST Elevation Myocardial Infarction. On a heart tracing there is a particular area that is called the ST segment.
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Electrocardiogram (EKG): This test, which shows electrical activity in the heart like a wave pattern (described above), is key to diagnosing a STEMI.
Code STEMI is a new alert system that immediately notifies the hospitals specially trained cardiac team when a patient is experiencing an acute heart attack, says Danielle Johnson, RN, BSBM, administrative director of cardiovascular services.
Find the isoelectric line (baseline) of the cardiac cycle by looking at the T-P segment. (Some references suggest finding the isoelectric line by looking at the PR segment.2) Measure the height (amplitude) of the ST segment from the isoelectric line at the J point in mm (each small box is 1 mm) (see J point elevation).
STEMI is a total or nearly total blockage of a coronary artery that supplies oxygen-rich blood to part of the heart muscle. Lack of blood and oxygen causes that part of the heart to fail. Prompt treatment is critical to prevent permanent heart damage or death.
Code STEMI is a program designed to help medical professionals recognize heart attacks and immediately activate a protocol that ensures patients receive lifesaving care as quickly as possible. At NHRMC, we focus on reducing heart attack treatment times to give the best chance for a full recovery.

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