Anesthesia Experts

High time to omit oxygen therapy in ST elevation myocardial infarction

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Author: Khoshnood A

BMC Emergency Medicine 18 (1), 35 (Oct 2018)

Supplemental oxygen (O 2 ) therapy in patients with chest pain has been a cornerstone in the treatment of suspected myocardial infarction (MI). Recent randomized controlled trials have, however, shown that supplemental O 2 therapy has no positive nor negative effects on cardiovascular functions, mortality, morbidity or pain in normoxic patients with suspected MI and foremost patients with ST Elevation Myocardial Infarction (STEMI). O 2 therapy in normoxic STEMI patients should therefore be omitted. More studies are needed in discussing hemodynamically unstable STEMI patients, as well as patients with non-STEMI, unstable angina and other emergency conditions.

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