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Review
. 2023 Apr;38(2):177-186.
doi: 10.1007/s12928-022-00907-6. Epub 2023 Jan 7.

Complete revascularization in acute myocardial infarction: a clinical review

Yuichi Saito  1 , Yoshio Kobayashi  2
Affiliations
Review

Complete revascularization in acute myocardial infarction: a clinical review

Yuichi Saito et al. Cardiovasc Interv Ther. 2023 Apr.

Abstract

In patients with ST segment elevation and non-ST elevation myocardial infarction (MI), multivessel (MV) coronary artery disease is found in approximately 50%, leading to worse clinical outcomes. Recent data have suggested that complete revascularization with MV percutaneous coronary intervention is associated with a reduced risk of major adverse cardiovascular events as compared to culprit vessel-only revascularization. However, the optimal timing of MV intervention, appropriate non-culprit lesion assessment, and the best revascularization strategy in specific subsets such as cardiogenic shock remain to be established. This review article summarizes current evidence on revascularization strategies in patients with acute MI and MV disease.

Keywords: Acute myocardial infarction; Complete revascularization; Percutaneous coronary intervention.

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Conflict of interest statement

Yuichi Saito declares no conflicts of interest to disclose. Yoshio Kobayashi is a recipient of research grants from Abbott, Boston Scientific, Medtronic, Nipro, and Terumo.

Figures

Fig. 1
Fig. 1
Schematic algorism of revascularization strategies in patients with acute MI and MV CAD. CABG coronary artery bypass grafting; CAD coronary artery disease; CS cardiogenic shock; MI myocardial infarction; MV multivessel; NSTEMI non-ST segment elevation myocardial infarction; PCI percutaneous coronary intervention; STEMI ST segment elevation myocardial infarction
See this image and copyright information in PMC

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