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September 1, 2019New England Journal of Medicine940 citationsOpen Access

Complete Revascularization with Multivessel PCI for Myocardial Infarction

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SMShamir R. MehtaDWDavid WoodRSRobert F. Storey

Key Result

Complete revascularization in patients with STEMI and multivessel disease significantly reduced the risk of cardiovascular death or myocardial infarction compared to culprit-lesion-only PCI.

Structured PICO

Does complete revascularization with multivessel PCI reduce cardiovascular death or myocardial infarction compared to culprit-lesion-only PCI in patients with STEMI and multivessel coronary artery disease?

P
Population
Patients with STEMI and multivessel coronary artery disease
I
Intervention
Complete revascularization with multivessel PCI
C
Comparator
Culprit-lesion-only PCI
O
Outcome
Composite of cardiovascular death or myocardial infarctioncomposite

In patients with STEMI and multivessel disease, complete revascularization is superior to culprit-lesion-only PCI for reducing the composite of cardiovascular death or myocardial infarction.

Abstract

Among patients with STEMI and multivessel coronary artery disease, complete revascularization was superior to culprit-lesion-only PCI in reducing the risk of cardiovascular death or myocardial infarction, as well as the risk of cardiovascular death, myocardial infarction, or ischemia-driven revascularization. (Funded by the Canadian Institutes of Health Research and others; COMPLETE ClinicalTrials.gov number, NCT01740479.).

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Cite This Study

Mehta et al. (2019) studied this question. Complete revascularization in patients with STEMI and multivessel disease significantly reduced the risk of cardiovascular death or myocardial infarction compared to culprit-lesion-only PCI.

synapsesocial.com/papers/696187d0ae7906a262d1b575https://doi.org/10.1056/nejmoa1907775
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