[Clinical and angiographic predictors of ST-elevation myocardial infarction]. / L'infarto miocardico con sopraslivellamento del tratto ST: predittori prognostici clinici ed angiografici.

Treatment of ST-elevation myocardial infarction has advanced tremendously over the past years; this development has proven to be beneficial in reducing mortality and cardiovascular events. Clinical baseline factors remain the cornerstone of prognostic stratification. Tools for prognostic stratification after myocardial infarction are targeted at evaluating myocardial damage, left ventricular dysfunction, residual ischemia and electrical instability. Primary coronary angioplasty is the preferred therapeutic option because, when it can be performed expeditiously by an experienced team, has shown better clinical outcomes; nevertheless we have to pay attention to avoid procedure-related risks such as bleeding and contrast-induced nephropathy.