STEMI patients and nonculprit lesions: To treat or not to treat? and when? A review of most recent literature

Catheter Cardiovasc Interv. 2016 Jun;87(7):1258-68. doi: 10.1002/ccd.26236. Epub 2015 Sep 14.

Abstract

Patients with ST segment elevation myocardial infarction and multivessel disease represent a high percentage of ischemic patient with a worse outcome than patient with single coronary artery disease. Therefore, initial management of these patients is of high importance, but unfortunately this is not clarified yet. We analyze the available literature trying to afford current doubts to determine which way of revascularization is to be preferred. © 2015 Wiley Periodicals, Inc.

Keywords: IRA-PCI; STEMI; complete revascularization; multivessel disease; staged-PCI.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Coronary Angiography
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / mortality
  • Coronary Artery Disease / physiopathology
  • Coronary Artery Disease / therapy*
  • Evidence-Based Medicine
  • Female
  • Hemodynamics
  • Humans
  • Male
  • Meta-Analysis as Topic
  • Middle Aged
  • Patient Selection
  • Percutaneous Coronary Intervention / adverse effects
  • Percutaneous Coronary Intervention / methods*
  • Percutaneous Coronary Intervention / mortality
  • Risk Assessment
  • Risk Factors
  • ST Elevation Myocardial Infarction / diagnostic imaging
  • ST Elevation Myocardial Infarction / mortality
  • ST Elevation Myocardial Infarction / physiopathology
  • ST Elevation Myocardial Infarction / therapy*
  • Time Factors
  • Treatment Outcome