[Update ESC Guideline 2017 - Acute Myocardial Infarction (STEMI)].

Clinical management of patients with ST-elevation myocardial infarction (STEMI) is an emergency situation. Primary aim is urgent reestablishment of reperfusion by means of percutaneous coronary intervention (PCI). The European society of cardiology recently published the latest version of the guideline for management of patients with STEMI. A clear recommendation now exists for radial approach as access side for PCI as well as an intervention including the implantation of a drug eluting stent (DES). In patients with STEMI and multi vessel disease a complete revascularization should be planned on an individual basis either as part of the index procedure or as staged procedure. Heparin remains the routinely used anticoagulant and it remains unchanged that dual antiplatelet therapy is recommended after STEMI - duration of DAPT should be planned according to individual ischemic and bleeding risk. © Georg Thieme Verlag KG Stuttgart · New York.