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Culprit Lesion Coronary Intervention Before Complete Angiography in ST-Elevation Myocardial Infarction: A Randomized Clinical Trial.


ABSTRACT:

Importance

Rapid reperfusion during primary percutaneous coronary intervention (PCI) is associated with improved outcomes among patients with ST-elevation myocardial infarction (STEMI). Although attempts at reducing the time from STEMI diagnosis to arrival at the catheterization laboratory have been widely investigated, intraprocedural strategies aimed at reducing the time to reperfusion are lacking.

Objective

To evaluate the effect of culprit lesion PCI before complete diagnostic coronary angiography (CAG) vs complete CAG followed by culprit lesion PCI on reperfusion times among patients with STEMI.

Design, setting, and participants

This open-label, prospective, randomized clinical trial was conducted between April 1, 2021, and August 31, 2022, among patients admitte

SUBMITTER: Levi N 

PROVIDER: S-EPMC10980970 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature