Management of ST-elevation myocardial infarction according to European and American guidelines.

AIMS To highlight differences between the most recent guidelines of the European Society of Cardiology (ESC) and the American College of Cardiology Foundation/American Heart Association (ACCF/AHA) on the management of ST-elevation myocardial infarction (STEMI). METHODS AND RESULTS ESC 2012 and ACCF/AHA 2013 guidelines on the management of STEMI were systematically reviewed for consistency. Recommendations were matched, directly compared in terms of class of recommendation and level of evidence, and classified as "identical", "overlapping", or "different". Out of 32 recommendations compared, 26 recommendations (81%) were classified as identical or overlapping, and six recommendations (19%) were classified as different. Most diverging recommendations were related to minor differences in class of recommendation between the two documents. This applies to recommendations for reperfusion therapy >12 hours after symptom onset, immediate transfer of all patients after fibrinolytic therapy, rescue PCI for patients with failed fibrinolysis, and intra-aortic balloon pump use in patients with cardiogenic shock. More substantial differences were observed with respect to the type of P2Y12 inhibitor and duration of dual antiplatelet therapy. CONCLUSIONS The majority of recommendations for the management of STEMI according to ESC and ACCF/AHA guidelines were identical or overlapping. Differences were explained by gaps in available evidence, in which case expert consensus differed between European and American guidelines due to divergence in interpretation, perception, and culture of medical practice. Systematic comparisons of European and American guidelines are valuable and indicate that interpretation of available evidence leads to agreement in the vast majority of topics. The latter is indirect support for the process of review and guideline preparation on both sides of the Atlantic.

1.4 Gaines Family Home at 3932 Weest Belle Place, St. Louis, Missouri

Following the death of Lloyd's father, his family, the size of which is reported to be anywhere from five to 11 siblings, moved to St. Louis, Missouri in 1926, settling in the city's Central West End neighborhood.

2. 6 Memorial for Lloyd Gaines, St. Peter's Cemetery, Normandy, St. Louis County, Missouri

What happened to Gaines? There are many ideas ranging from being murdered or lynched, being bribed to run away, or disappearing on his own to get away from the pressure of celebrity. That final possibility was brought about by Dr. Greene, who claimed that a man who sounded like Gaines had phoned him while in Mexico and wished to meet. The man never showed up. A recent theory is one of where Lloyd was kidnapped by opponents of the Gaines court decision who took him to Jefferson City and lynched him in McClung Park. All of these theories are speculation and the fact remains that Lloyd Gaines’ whereabouts are a mystery to this day.

Louisiana Purchase Exposition, St. Louis, Missouri, 1904 (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Ground plan of the Louisiana Purchase Exposition St. Louis, MO 1904. It was published by Buxton & Skinner Stationery Co. Scale [1:7,500]. Covers the exposition grounds and buildings of the Saint Louis World's Fair, currently the Forest Park and Washington University area, St. Louis, Missouri. The image inside the map neatline is georeferenced to the surface of the earth and fit to the the Missouri East State Plane Coordinate System NAD83 (in Feet) (Fipszone 2401). All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as roads, railroads and stations, cable and electric car lines, drainage, lagoons and ponds, buildings, ground cover, paths, and more. Includes index. This layer is part of a selection of digitally scanned and georeferenced historic maps from The Harvard Map Collection as part of the Imaging the Urban Environment project. Maps selected for this project represent major urban areas and cities of the world, at various time periods. These maps typically portray both natural and manmade features at a large scale. The selection represents a range of regions, originators, ground condition dates, scales, and purposes.

School desegregation in the St. Louis and Kansas City areas : metropolitan interdistrict options : a report /

Item 288-A

Expansion program at St. Louis area : project no. 224-5066A : project history and completion report /

"October 1960 [OTI Issuance Date]."

Proceedings ... annual convention, California Bar Association.

List of members in each volume.

Statistical report of the National association of iron manufacturers for 1872.

No more published.

Aircraft accident report : Ozark Air Lines, Inc., Fairchild Hiller FH-227B, N4215, near the Lambert-St. Louis International Airport, St. Louis, Missouri, July 23, 1973 /

Mode of access: Internet.

Registers of the French conformed churches of St. Patrick and St. Mary, Dublin /

"Only five hundred copies printed."

Commentary on the Gospel of St. John. : With a critical introduction /

Vol. 2-3 translated by M.D. Cusin and S. Taylor.

Samantha at the St. Louis exposition,

Mode of access: Internet.