Summary

Initial therapy for AMI aims at restoration of perfusion achieved through either medical or mechanical (PCTA, CABG) means.

ACC/AHA STEMI guidelines were updated and expanded in 2004, and are now generally regarded as the “final word.” The new guidelines emphasize primary PCI as the initial reperfusion therapy of choice if promptly available. Timing of therapies prompted a presentation focusing on STEMI management in the first 24 hours.