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- Title
Revascularization Strategy in Myocardial Infarction with Multivessel Disease.
- Authors
Jobs, Alexander; Desch, Steffen; Freund, Anne; Feistritzer, Hans-Josef; Thiele, Holger
- Abstract
The proportion of patients with multivessel coronary artery disease in individuals experiencing acute coronary syndrome (ACS) varies based on age and ACS subtype. In patients with ST-segment elevation myocardial infarction (STEMI) without cardiogenic shock, the prognostic benefit of complete revascularization has been demonstrated by several randomized trials and meta-analyses, leading to a strong guideline recommendation. However, similar data are lacking for ACS without ST-segment elevation (NSTE-ACS). Non-randomized data suggesting a benefit from complete revascularization in non-ST-segment elevation myocardial infarction (NSTEMI) are prone to selection bias and should be interpreted with caution. A series of large randomized controlled trials have been initiated recently to address these open questions.
- Subjects
ST elevation myocardial infarction; MYOCARDIAL infarction; CORONARY artery disease; MYOCARDIAL revascularization; ACUTE coronary syndrome; CARDIOGENIC shock; NON-ST elevated myocardial infarction
- Publication
Journal of Clinical Medicine, 2024, Vol 13, Issue 7, p1918
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm13071918