ST-segment elevation myocardial infarction (STEMI) is a medical emergency and patients presenting with this in general practice should be given aspirin and glyceryl trinitrate and sent urgently to hospital by ambulance for reperfusion. GPs have a pivotal role in the postdischarge care of these patients.
- ST-segment elevation (STEMI) is a medical emergency and almost entirely an ambulance- or hospital-managed condition as patients require immediate monitoring and emergency reperfusion treatment.
- Patients with possible STEMI presenting in general practice should be given aspirin and glyceryl trinitrate and referred urgently to hospital.
- Reperfusion treatment options are fibrinolysis and percutaneous coronary intervention.
- All patients with STEMI should receive antithrombotic and dual antiplatelet therapy unless contraindicated.