Revascularization Strategies in Patients With STEMI: Culprit-Only vs Multivessel Revascularization Using Percutaneous Coronary Intervention.

摘要: BACKGROUND Approximately 50% of patients undergoing primary percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction (STEMI) have multivessel disease (MVD). Evidence on the best PCI approach these is conflicting. The aim this study to examine Australian data from CONCORDANCE registry describe practice and outcomes receiving vs culprit-only PCI. METHODS Two cohorts were constructed MVD-STEMI at 41 hospitals between 2009 2015: (n = 587; 87%) 82; 12%). Clinical characteristics described, all-cause mortality, heart failure, reinfarction, in-hospital 6-month follow-up. relative prevalence each procedure over time was also described. RESULTS patient comparable in age, sex, cardiovascular risk factors. Patients with higher Killip scores more likely receive (P=.02). group significantly cardiogenic shock (P<.01), reinfarction (P=.02), cardiac arrest stroke (P=.01). There no difference incidence ischemic events 6 months, but had a lower rate planned repeat revascularizations (12% 2%; P=.03). frequency during observation period. CONCLUSIONS has not changed 2009-2015. Index complete revascularization STEMI-MVD be performed those worse presentations associated complications.