Complete Revascularization in ST-Elevation Myocardial Infarction?

Between 40 and 50% of patients who present with acute ST-elevation myocardial infarction (STEMI) have multivessel coronary artery disease. 1 , 2 Joint guidelines from the American College of Cardiology, the American Heart Association, and the European Society of Cardiology recommend treatment of the...

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Bibliographic Details
Published in:The New England journal of medicine Vol. 376; no. 13; pp. 1282 - 1284
Main Author: Køber, Lars
Format: Journal Article
Language:English
Published: United States Massachusetts Medical Society 30.03.2017
Subjects:
Angiography
Clinical trials
Coronary artery
Coronary vessels
Electrocardiography
Heart attacks
Heart diseases
Heart surgery
Humans
Myocardial Infarction
Myocardial Revascularization
Patients
Percutaneous Coronary Intervention
ST Elevation Myocardial Infarction
Treatment Outcome
ISSN:0028-4793, 1533-4406, 1533-4406
Online Access:Get full text
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Summary:Between 40 and 50% of patients who present with acute ST-elevation myocardial infarction (STEMI) have multivessel coronary artery disease. 1 , 2 Joint guidelines from the American College of Cardiology, the American Heart Association, and the European Society of Cardiology recommend treatment of the culprit vessel only, but data from a few trials of intermediate size favor complete revascularization, mainly on the basis of reductions in the need for repeat revascularizations. 3 – 7 The severity of nonculprit vessel lesions has generally been assessed by means of angiography; in one trial, fractional flow reserve (FFR) was used. 7 Important questions therefore remain: among patients presenting . . .
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ISSN:0028-4793
1533-4406
1533-4406
DOI:10.1056/NEJMe1702825