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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| Vydané v: | The New England journal of medicine Ročník 376; číslo 13; s. 1282 - 1284 |
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| Hlavný autor: | |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
Massachusetts Medical Society
30.03.2017
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| ISSN: | 0028-4793, 1533-4406, 1533-4406 |
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| Abstract | 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.
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The severity of nonculprit vessel lesions has generally been assessed by means of angiography; in one trial, fractional flow reserve (FFR) was used.
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Important questions therefore remain: among patients presenting . . . |
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| AbstractList | 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 . . . 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 . . . |
| Author | Køber, Lars |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28317460$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_jcin_2018_02_028 crossref_primary_10_1007_s11936_018_0636_9 crossref_primary_10_3389_fphar_2022_822640 |
| Cites_doi | 10.1161/CIR.0b013e3182742c84 10.1093/eurheartj/eht517 10.1056/NEJMoa1701067 10.1056/NEJMoa1305520 10.1016/j.jacc.2007.10.047 10.1097/MCA.0b013e32832e5c4c 10.1016/j.jacc.2014.12.038 10.1016/S0140-6736(15)60648-1 |
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| References | Engstrøm, T, Kelbæk, H, Helqvist, S (r007) 2015; 386 Kolh, P, Windecker, S (r003) 2014; 35 Wald, DS, Morris, JK, Wald, NJ (r005) 2013; 369 Kelbaek, H, Terkelsen, CJ, Helqvist, S (r001) 2008; 51 Smits, PC, Abdel-Wahab, M, Neumann, F-J (r008) 2017; 376 Rasoul, S, Ottervanger, JP, de Boer, MJ (r002) 2009; 20 Gershlick, AH, Khan, JN, Kelly, DJ (r006) 2015; 65 O’Gara, PT, Kushner, FG, Ascheim, DD (r004) 2013; 127 r006 Smits PC (r008) 2017; 376 r007 r002 r004 r005 r001 Kolh P (r003) 2014; 35 |
| References_xml | – volume: 35 start-page: 3235 year: 2014 end-page: 3236 ident: r003 article-title: ESC/EACTS myocardial revascularization guidelines 2014. publication-title: Eur Heart J – volume: 127 start-page: 529 year: 2013 end-page: 555 ident: r004 article-title: 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. publication-title: Circulation – volume: 369 start-page: 1115 year: 2013 end-page: 1123 ident: r005 article-title: Randomized trial of preventive angioplasty in myocardial infarction. publication-title: N Engl J Med – volume: 376 start-page: 1234 year: 2017 end-page: 1244 ident: r008 article-title: Fractional flow reserve–guided multivessel angioplasty in myocardial infarction. publication-title: N Engl J Med – volume: 20 start-page: 415 year: 2009 end-page: 421 ident: r002 article-title: Predictors of 30-day and 1-year mortality after primary percutaneous coronary intervention for ST-elevation myocardial infarction. publication-title: Coron Artery Dis – volume: 65 start-page: 963 year: 2015 end-page: 972 ident: r006 article-title: Randomized trial of complete versus lesion-only revascularization in patients undergoing primary percutaneous coronary intervention for STEMI and multivessel disease: the CvLPRIT trial. publication-title: J Am Coll Cardiol – volume: 386 start-page: 665 year: 2015 end-page: 671 ident: r007 article-title: Complete revascularisation versus treatment of the culprit lesion only in patients with ST-segment elevation myocardial infarction and multivessel disease (DANAMI-3–PRIMULTI): an open-label, randomised controlled trial. publication-title: Lancet – volume: 51 start-page: 899 year: 2008 end-page: 905 ident: r001 article-title: Randomized comparison of distal protection versus conventional treatment in primary percutaneous coronary intervention: the Drug Elution and Distal Protection in ST-Elevation Myocardial Infarction (DEDICATION) trial. publication-title: J Am Coll Cardiol – ident: r004 doi: 10.1161/CIR.0b013e3182742c84 – volume: 35 start-page: 3235 year: 2014 ident: r003 publication-title: Eur Heart J doi: 10.1093/eurheartj/eht517 – volume: 376 start-page: 1234 year: 2017 ident: r008 publication-title: N Engl J Med doi: 10.1056/NEJMoa1701067 – ident: r005 doi: 10.1056/NEJMoa1305520 – ident: r001 doi: 10.1016/j.jacc.2007.10.047 – ident: r002 doi: 10.1097/MCA.0b013e32832e5c4c – ident: r006 doi: 10.1016/j.jacc.2014.12.038 – ident: r007 doi: 10.1016/S0140-6736(15)60648-1 |
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| Snippet | Between 40 and 50% of patients who present with acute ST-elevation myocardial infarction (STEMI) have multivessel coronary artery disease.
1
,
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Joint... Between 40 and 50% of patients who present with acute ST-elevation myocardial infarction (STEMI) have multivessel coronary artery disease.1,2 Joint guidelines... |
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| SubjectTerms | 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 |
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| Title | Complete Revascularization in ST-Elevation Myocardial Infarction? |
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