Treatments, Trends, and Outcomes of Acute Myocardial Infarction and Percutaneous Coronary Intervention

• Published in: Journal of the American College of Cardiology Vol. 56; no. 4; pp. 254 - 263
• Main Authors: Roe, Matthew T., MD, MHS, Messenger, John C., MD, Weintraub, William S., MD, Cannon, Christopher P., MD, Fonarow, Gregg C., MD, Dai, David, MS, Chen, Anita Y., MS, Klein, Lloyd W., MD, Masoudi, Frederick A., MD, MSPH, McKay, Charles, MD, Hewitt, Kathleen, RN, Brindis, Ralph G., MD, MPH, Peterson, Eric D., MD, MPH, Rumsfeld, John S., MD, PhD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 20-07-2010; Elsevier; Elsevier Limited
• Subjects: acute myocardial infarction; Aged; Angioplasty, Balloon, Coronary - trends; Biological and medical sciences; Cardiology; Cardiology. Vascular system; Cardiovascular; Cohort Studies; Coronary heart disease; Coronary vessels; Diseases of the cardiovascular system; Female; Heart; Heart attacks; Hospitals; Humans; Internal Medicine; Male; Medical sciences; Middle Aged; Mortality; Myocardial Infarction - epidemiology; Myocardial Infarction - therapy; Myocarditis. Cardiomyopathies; NCDR; percutaneous coronary intervention; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Registries; Stents; Treatment Outcome; United States > US; NSTEMI; UA; acute coronary syndromes; National Cardiovascular Data Registry; percutaneous coronary intervention; low-molecular-weight heparin; CathPCI; non–ST-segment elevation myocardial infarction; ACC; Acute Coronary Treatment and Intervention Outcomes Network; drug-eluting stent; NCDR; American College of Cardiology; catheterization and percutaneous coronary intervention; American Heart Association; ACS; LMWH; DES; ACTION; AR-G; PCI; AHA; unstable angina; ACTION Registry–Get With The Guidelines; acute myocardial infarction; Myocardial infarction; Atherectomy; Prognosis; Angioplasty; Acute; Coronary artery; Trend; Instrumentation therapy; Cardiovascular disease; Coronary heart disease; Myocardial disease; Stent; Percutaneous route; Circulatory system; Cardiology
• ISSN: 0735-1097; 1558-3597
• DOI: 10.1016/j.jacc.2010.05.008

Given the attendant risks of mortality and morbidity, acute MI remains a principal focus of cardiovascular therapeutics. [...]30-day mortality and rehospitalization rates for acute MI are publicly reported in an effort to promote optimal acute MI care, and aspects of MI care delivery are the focus of local, regional, and national quality initiatives (1-3). Updates or revisions to the American College of Cardiology (ACC)/American Heart Association (AHA) practice guidelines for PCI, ST-segment elevation myocardial infarction (STEMI), and unstable angina (UA)/non-ST-segment elevation myocardial infarction (NSTEMI) have been published within the last 3 years, building upon prior versions published earlier in the decade (5-7).