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Complete revascularization in acute myocardial infarction: a clinical review

Complete revascularization in acute myocardial infarction: a clinical review In patients with ST segment elevation and non-ST elevation myocardial infarction (MI), multivessel (MV) coronary artery disease is found in approximately 50%, leading to worse clinical outcomes. Recent data have suggested that complete revascularization with MV percutaneous coronary intervention is associated with a reduced risk of major adverse cardiovascular events as compared to culprit vessel-only revascularization. However, the optimal timing of MV intervention, appropriate non-culprit lesion assessment, and the best revascularization strategy in specific subsets such as cardiogenic shock remain to be established. This review article summarizes current evidence on revascularization strategies in patients with acute MI and MV disease. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Cardiovascular Intervention and Therapeutics Springer Journals

Complete revascularization in acute myocardial infarction: a clinical review

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References (94)

Publisher
Springer Journals
Copyright
Copyright © The Author(s) under exclusive licence to Japanese Association of Cardiovascular Intervention and Therapeutics 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
ISSN
1868-4300
eISSN
1868-4297
DOI
10.1007/s12928-022-00907-6
Publisher site
See Article on Publisher Site

Abstract

In patients with ST segment elevation and non-ST elevation myocardial infarction (MI), multivessel (MV) coronary artery disease is found in approximately 50%, leading to worse clinical outcomes. Recent data have suggested that complete revascularization with MV percutaneous coronary intervention is associated with a reduced risk of major adverse cardiovascular events as compared to culprit vessel-only revascularization. However, the optimal timing of MV intervention, appropriate non-culprit lesion assessment, and the best revascularization strategy in specific subsets such as cardiogenic shock remain to be established. This review article summarizes current evidence on revascularization strategies in patients with acute MI and MV disease.

Journal

Cardiovascular Intervention and TherapeuticsSpringer Journals

Published: Apr 1, 2023

Keywords: Complete revascularization; Acute myocardial infarction; Percutaneous coronary intervention

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