Post-reperfusion STEMI care in ICU: detect and treat complications (shock, arrhythmia, mechanical), start GDMT, plan step-down.
Authored pathway active · cardio.stemi.acute.icu
Post-reperfusion STEMI care in ICU: detect and treat complications (shock, arrhythmia, mechanical), start GDMT, plan step-down.
Guidelines: ACC/AHA 2013/2022 STEMI Guideline (Focused Update 2025) · ESC 2023 ACS Guideline · SCAI 2019 Cardiogenic Shock Classification
Phenotypes (5)
- STEMI — Primary PCI Eligible (< 12 h onset, PCI center available)
- STEMI — Fibrinolysis (PCI > 120 min away or unavailable)
- STEMI — Cardiogenic Shock (SBP < 90, hypoperfusion, lactate ≥ 2)
- Post-Fibrinolysis — Pharmacoinvasive (Transfer for Angiography 2–24 h)
- +1 more
Red flags (6)
- Cardiogenic shock (SBP < 90 ≥ 30 min, end-organ hypoperfusion, lactate ≥ 2)CRITICAL
- Suspected mechanical complication (papillary-muscle rupture, VSR, free-wall rupture, tamponade)CRITICAL
- Sustained VT / VF, asystole, complete heart block, or symptomatic Mobitz IICRITICAL
- Absolute contraindication to fibrinolysis (active bleeding, stroke < 3 mo, intracranial neoplasm, suspected dissection)CRITICAL
- +2 more
Pathway-scoped symptom and exam intake
Test this pathway's ROS and differential links
Uses LR engine cardio.stemi.core.v1, then routes suggested engines into the workspace.
19-panel workspace
cardio.stemi.acute · ICUStart patient workup
Open a scratch or linked encounter, add active problems, then keep labs, fluids, acid-base, and electrolyte tools beside the main workspace instead of losing context.
Encounter and problems
No encounter open. Add a problem to create a scratch encounter when none is open.
Multi-window tools
Unified
labs + fluids + acid-base
Labs
fast lab analyzer
Fluid
resuscitation and balance
Electrolytes
Na/K/Mg/Phos/Ca
ABG/VBG
compensation and mixed disorders
Popular entry points
6 quick-startsOr jump straight to the atlas
The Engine Atlas covers every authored disease package with setting chips and pathway badges. Open any engine to load its 19-panel workspace, backed by phenotype-aware reasoning and monitored by the Flow Assistant.