STEMI Management Algorithm
Note: This document provides a structured summary of the STEMI Management Algorithm for educational and reference purposes. It is not a substitute for certified ACLS training and adherence to the latest guidelines published by the American Heart Association (AHA) or other relevant governing bodies. Always consult the most current official guidelines.
Patient presents with symptoms suggestive of acute coronary syndrome.
ABCs, O2 (if SaO2 < 90%), Aspirin, Nitroglycerin (if BP stable), Morphine (if needed), 12-lead ECG.
Identify STEMI (ST elevation in $\ge$ 2 contiguous leads or new LBBB).
Activate the cardiac catheterization lab or prepare for fibrinolytic therapy.
Determine if PCI is available within recommended timeframes or if fibrinolysis is indicated.
Transport to PCI-capable hospital. Goal: Door-to-balloon time < 90 mins.
Check contraindications. Administer fibrinolytic agent. Goal: Door-to-needle time < 30 mins.
Evaluate for signs of successful reperfusion after fibrinolysis.
Antithrombotic/antiplatelet therapy, Beta-blockers, Statins, ACE inhibitors. Monitor for complications.
Transfer to a higher level of care if needed. Continue medical management and rehabilitation.
