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HAS / Samu de France / SFMU / Société française de cardiologie

Infarctus du myocarde à la phase aiguë hors cardiologie

Prise en charge de l'infarctus du myocarde à la phase aiguë en dehors des services de cardiologie

Independent summary, neither edited nor endorsed by the societies cited.

This summary is currently available in French only (titles, summaries and recommendations): the English version is in preparation.

Update in progress. The society has announced a new version of this guideline; the summary will be updated as soon as it is published.

Scope of the guideline

Prise en charge de l'infarctus du myocarde (IDM) à la phase aiguë, en dehors des services de cardiologie — tout professionnel de santé amené à prendre en charge un IDM aigu hors cardiologie, en particulier les urgentistes (SAMU/SMUR, médecins libéraux, sapeurs-pompiers, SOS Médecins, services d'urgences et de soins non cardiologiques).

Key points

  • La décision de désobstruction repose sur la probabilité clinique, l'ECG puis la troponine.
  • Forte probabilité clinique avec ECG contributif : désobstruction coronaire urgente.
  • Aspirine dans tout SCA ; clopidogrel à la phase précoce d'un SCA ST+ [A].

Read the full summary

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Contents of the full summary

  1. Question 1 — Critères décisionnels de désobstruction coronaire
  2. Question 2 — Reperfusion et traitements adjuvants du SCA ST+
  3. Traitements adjuvants
  4. Question 3 — Filières de prise en charge
  5. Question 4 — Situations particulières
  6. Question 5 — Prise en charge des complications initiales
  7. Annexe 1 — Échelle de gradation HAS des recommandations
Societies
HAS, SFMU, SFAR, SRLF
Document
Conférence de consensus · 23 November 2006
Methodology
Grades HAS A/B/C (études thérapeutiques, pas de GRADE 1+/2+)
Endorsement
Conférence de consensus HAS/Samu de France/SFMU/Société française de cardiologie

Older source. Guideline published in 2006, more than 10 years ago: check with the society that no update has been published since.

Official source document ↗ — freely available on the society's website (link checked on 12 October 2026).

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Independent summary: it replaces neither the full text of the official guideline nor clinical judgement, and is neither edited nor endorsed by the societies cited. Our approach