The impact of multivessel disease with and without a co-existing chronic total occlusion on short- and long-term mortality in ST-elevation myocardial infarction patients with and without cardiogenic shock

摘要: Aims To evaluate the impact of multivessel disease (MVD) with and without a chronic total occlusion (CTO) on early late mortality in ST-elevation myocardial infarction (STEMI) patients cardiogenic shock (CS). Methods results A 5018 STEMI were treated primary percutaneous coronary intervention stratified according to presence CS extent artery into single vessel (SVD), MVD CTO, CTO. We performed landmark analysis up 5-year follow-up set at 30 days. In (n = 4409), only CTO was an independent predictor for 30-day [hazard ratio (HR) 2.8, P < 0.01] (HR 1.7, 0.01), whereas not associated increased mortality. 609), predictors 2.2, 0.01 HR 1.8, 0.01). survivors, trend towards 0.06). Conclusion In non-CS MVD, co-existing non-infarct-related drives CS, short-term