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Loomba RS et al. - The ACC/AHA have made several additions and revisions to the 2004 STEMI guidelines. These include recommendations focusing on reperfusion and antithrombotic therapy, ancillary anticoagulation, fibrinolytic therapy, and primary percutaneous intervention (PCI). Goal times for interventions such as fibrinolytic therapy and PCI are also set forth in new guidelines, which stress prompt response to STEMI for better outcomes. Changes deal with all aspects of care such as care provided by emergency medical systems (EMS) en route to the hospital, in-hospital fibrinolysis and PCI, post-hospitalization measures, and secondary prevention.


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