{
  "release_id": "73130c34862e2d06",
  "id": "cardio:primary-pci-for-stemi",
  "owner": "cardio",
  "kind": "intervention",
  "slug": "primary-pci-for-stemi",
  "name": "Emergency stenting for ST-elevation heart attack (primary PCI)",
  "aliases": [],
  "atlases": [
    "cardio"
  ],
  "summary_plain": "Primary PCI means using percutaneous coronary intervention (balloon angioplasty, often with a stent) as an emergency treatment to reopen a blocked heart artery during a heart attack. A US government health page says PCI is done by a cardiologist in a hospital catheterization laboratory and is often done as soon as the team confirms a heart attack, and that early treatment helps limit damage to the heart. Target times were not read.",
  "summary_technical": "A US government heart attack treatment page describes PCI with a stent after a heart attack and says that after a stent, anticlotting medicines are usually needed for a minimum of six to twelve months. It says the risk of complications is higher in older people, in people with kidney disease, with heart failure during the procedure, or with widespread heart disease affecting more than one coronary artery. The page does not use the terms primary PCI or ST-elevation. The terms primary PCI and ST-elevation appear in the abstract of a 2025 US guideline on acute coronary syndromes, which names a 2015 focused update on primary PCI for ST-elevation myocardial infarction among the guidance whose evidence it updates (see the claim). No reperfusion target or timing is recorded, because the guideline text could not be read.",
  "editorial_state": "draft",
  "last_substantive_edit": "2026-10-15",
  "last_evidence_check": "2026-10-15",
  "next_review_due": null,
  "identifiers": [],
  "navigation": {
    "cardio": {
      "condition-area": [
        "acute-care-and-long-term-living"
      ]
    }
  },
  "payload": {
    "subtype": "procedure",
    "mechanism": "A balloon on a catheter is inflated in the blocked artery, and a stent (a small mesh tube) may be placed to keep it open (US government health page).",
    "components": null
  },
  "content_digest": "db099dde263d36eb9113e886f1e57711d0385d09d8d6c58cdb30421bcb7eebb6",
  "review": {
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    "current": [],
    "conflicting": [],
    "stale": [],
    "inactive": []
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  "claims": [
    {
      "release_id": "73130c34862e2d06",
      "id": "cardio:claim-primary-pci-guideline-aim",
      "owner": "cardio",
      "subject_entity_id": "cardio:primary-pci-for-stemi",
      "category": "descriptive",
      "statement": "The abstract of the 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes names, among the earlier guidance whose evidence it updates, the 2015 ACC/AHA/SCAI focused update on primary percutaneous coronary intervention for ST-elevation myocardial infarction.",
      "context": {
        "id": "cardio:ctx-acc-aha-2025-acs-guideline",
        "label": "Patients with acute coronary syndromes, as covered by the 2025 ACC/AHA/ACEP/NAEMSP/SCAI guideline (abstract)",
        "recipient": "unknown",
        "population": "Patients with acute coronary syndromes. The abstract names earlier guidelines on ST-elevation myocardial infarction and on non-ST-elevation acute coronary syndromes as the base whose evidence it updates, and it states no recommendation for any group.",
        "care_setting": "Not stated in the abstract.",
        "geography": "United States (an American College of Cardiology and American Heart Association guideline); the abstract names no other jurisdiction.",
        "life_stage_note": "The abstract states no age limits.",
        "life_stage_terms": null,
        "gestational_age_min_days": null,
        "gestational_age_max_days": null,
        "gestational_age_basis": null,
        "postnatal_age_min_days": null,
        "postnatal_age_max_days": null,
        "gestational_age_status": null,
        "postnatal_age_status": null,
        "followup_description": "Not applicable (guideline).",
        "eligibility": {
          "inclusion": [
            "Acute coronary syndromes (guideline title)"
          ],
          "exclusion": []
        }
      },
      "evidence_stage": "guidance",
      "certainty": "not_assessed",
      "certainty_method": null,
      "limitations": "Only the abstract was read. It names the focused update and says nothing about what it recommends, so no recommendation, class, level of evidence or reperfusion time is recorded. PubMed links three errata (corrections) to the Circulation version of the 2025 guideline (PMIDs 40163565, 40549849 and 41212941); their text was not read, so it is not known whether the corrections change anything the abstract says.",
      "editorial_state": "draft",
      "checked_at": "2026-10-15",
      "next_review_due": null,
      "valid_from": null,
      "valid_to": null,
      "citations": [
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            "source_effective_date": null,
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            "source_state": "corrected"
          },
          "source": {
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            "source_type": "publication",
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            "publication_date": "2025-02-27",
            "publisher": "Circulation",
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      "api_path": "api/v1/claims/cardio--claim-primary-pci-guideline-aim.json"
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  ],
  "decisions": [],
  "milestones": [],
  "relationships": {
    "outgoing": [
      {
        "predicate": "subtype_of",
        "label": "Emergency use of PCI",
        "clinical_claim_not_fact": false,
        "family": "navigation",
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        "label": "Procedure used in heart attack care",
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}