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Commentary on: Fu S, Lv X, Fang Q, et al. Oxygen therapy for acute myocardial infarction: a systematic review and meta-analysis. Int J Nurs Stud 2017;74:8–14.
Implications for practice and research
In the absence of robust evidence that oxygen is beneficial or harmful, patients with suspected acute myocardial infarction (AMI) should have oxygen therapy titrated to oxygen saturation levels in accordance with guidelines.
A large randomised trial, Determination of the role of oxygen in suspected acute myocardial infarction (DETO2X-AMI),1 has recently reported no mortality difference at 365 days between normoxic patients with suspected AMI who received oxygen versus ambient suggesting supplementary oxygen can safely be withheld in such patients.
Oxygen therapy has been a mainstay of emergency management of patients with suspected AMI for decades. In recent years, systematic reviews have raised concerns that oxygen may be harmful to patients with AMI, but the quality of evidence has been low. …
Competing interests TQ is an author of a Cochrane review on the same topic and receives funding for research from NIHR.
Provenance and peer review Commissioned; internally peer reviewed.