D.M. Aronov, I.S. Yavelov, M.G. Bubnova, Ya.V. Byvsheva

National Medical Research Center for Preventive Medicine of the Ministry of Health of the Russian Federation, Moscow
In recent years, an active evaluation of various aspects of the pathogenesis, diagnosis and treatment of acute coronary syndrome has continued. Approaches to the management of such patients are constantly refined and improved, which is reflected in updated versions of clinical guidelines prepared by various professional societies. The purpose of this message is to remind modern principles of management of patients with acute coronary syndrome with persistent ST segment elevation on the electrocardiogram to a wide range of practitioners. It is based on the Russian Society of Specialists in Emergency Cardiology recommendations “Diagnosis and treatment of patients with acute myocardial infarction with ST segment elevation on the electrocardiogram”, which appeared in 2014, as well as updated versions of the European Society of Cardiology recommendations on the treatment of ST-elevated myocardial infarction (published in September 2017), myocardial revascularization (published in September 2018) and the 4th universal definition of myocardial infarction, presented in September 2018.
Keywords: acute coronary syndrome, acute myocardial infarction, diagnosis, treatment

About the Autors

Corresponding author: D.M. Aronov – MD, Prof., Head of the Department of Rehabilitation and Secondary Prevention of Cardiovascular Diseases, NMRC for Preventive Medicine, Moscow, Russia; e-mail:

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