How to treat patients with ST-elevation acute myocardial infarction and multi-vessel disease?

ABSTRACT: Over 50% of ST-segment elevation myocardial infarction (STEMI) patients suffer multi-vessel coronary artery disease, which is known to be associated with worse prognosis. Treatment strategies used in clinical practice vary from acute multi-vessel percutaneous coronary intervention (PCI), through staged PCI procedures to a conservative approach with primary PCI of only the infarct-related artery (IRA) and subsequent medical therapy unless recurrent ischaemia occurs. Each approach has advantages and disadvantages. This review paper summarizes the international experience and authors' opinion on this clinically important question. Multi-vessel disease in STEMI is not a single entity and thus the treatment approach should be individualized. However, the following general rules can be proposed

SUBMITTER: Widimsky P 

PROVIDER: S-EPMC3038335 | biostudies-literature | 2011 Feb

REPOSITORIES: biostudies-literature