International journal of cardiology. Heart & vasculature
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Int J Cardiol Heart Vasc · Aug 2021
ReviewDoes multivessel revascularization fit all patients with STEMI and multivessel coronary artery disease? A systematic review and meta-analysis.
We sought to assess the relative merits of different revascularization strategies in patients with ST-segment elevation myocardial infarction (STEMI) and multivessel coronary artery disease complicated by cardiogenic shock or chronic total occlusion (CTO). ⋯ For patients with STEMI and multivessel coronary artery disease complicated by cardiogenic shock, an immediate multivessel PCI was not advocated due to a higher risk for short-term renal failure, whereas for patients complicated by CTO, a staged multivessel PCI was advocated due to reduced risks for long-term MACE, all-cause mortality, cardiac death, heart failure, and stroke.