Acute Myocardial Infarction: From the New Guideline to the Particularities of Out-of-Hospital Care - A Narrative Review
DOI:
https://doi.org/10.63176/z8spjd39Keywords:
Acute Myocardial Infarction with ST-segment elevation, Critical Care Nursing, Emergency Medical Services, Pre-Hospital CareAbstract
Introduction: Acute myocardial infarction is a time-dependent clinical condition associated with high morbidity and mortality, requiring an integrated prehospital and in-hospital response. Recent recommendations from the European Society of Cardiology emphasize evidence-based clinical practice.
Objetives: To analyse and discuss the applicability of the 2023 ESC recommendations for ST-segment elevation myocardial infarction in the pre-hospital emergency setting, focusing on the contribution of specialist critical care nursing.
Methods: Narrative literature review, with searches conducted in Medline, CINAHL, Cochrane, and Google Scholar, including articles published between 2018 and 2024, in Portuguese, English, and French.
Results: The reviewed evidence highlights the relevance of early clinical assessment, timely electrocardiographic evaluation, rapid activation of reperfusion pathways, and individualized prehospital therapy in improving clinical outcomes.
Conclusions: Structured application of international recommendations in the prehospital context enhances care quality for patients with ST-segment elevation myocardial infarction and underscores the central role of specialist nursing practice.
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