7 steps for success in managing Acute MI in COVID 19 era?

7 steps for success in managing Acute MI in COVID 19 era?

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  • Myocardial Infarction (MI) is of two types – STE elevation MI (STEMI) and non-ST elevation MI (NSTEMI)
  • STEMI patients are best managed by Primary Angioplasty and stent procedure where ever cath lab facilities are available
  • When cath lab is not available – pharmaco-invasive strategy is preferred – i.e.; thrombolyze as soon as possible and then transfer to cath lab center after initial stabilization. Angioplasty to be done within 24 hours of onset of chest pain.
  • NSTEMI is best managed medically at least initially and further management based on GRACE score
    • High GRACE score – Early angiography and revascularization
    • Low GRACE score – medical management
  • Cardiologists need to realize that COVID can masquerade as AMI and also differentiate myocarditis from AMI
  • Clinicians need to protect their staff by imparting knowledge as well availability of appropriate PPE in cath lab
  • Public should be educated not to ignore symptoms of heart attack and the need for timely reperfusion needs need to be emphasized.










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