Revascularization Strategies in Patients Presenting with ST-Elevation Myocardial Infarction and Multivessel Coronary Disease

Primary percutaneous coronary intervention (PCI) is the gold standard for the treatment of patients with an acute ST-segment elevation myocardial infarction (STEMI),1-3 and up to 52% of those cases present with multivessel coronary artery disease (MVD) increasing the risk of future cardiovascular events.4 The management of the non-culprit lesions, however, remains controversial.5 Recent randomized trials showed improved clinical outcomes in patients undergoing complete revascularization. PCI of non-infarct related arteries (non-IRA) was performed either during the index procedure,6,7 in a staged procedure during hospital admission,8,9 or mixing the two strategies.
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research