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: Maria Natalia Tovar Forero, Paola Scarparo, Wijnand den Dekker, Matthew Balbi, Kaneshka Masdjedi, Laurens van Zandvoort, Isabella Kardys, Koen Ameloot, Joost Daemen, Miguel Lemmert, Jeroen Wilschut, Peter de Jaegere, Felix Zijlstra, Nicolas Van Mieghem, R Source Type: research
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