Percutaneous Intervention in ST-Elevation Myocardial Infarction: Culprit-only or Complete Revascularization?

• Published in: Arquivos brasileiros de cardiologia Vol. 109; no. 6; pp. 599 - 605
• Main Authors: Osório, Ana Paula Susin, Quadros, Alexandre Schaan de, Vieira, José Luiz da Costa, Portal, Vera Lucia
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira de Cardiologia - SBC 01.12.2017; Sociedade Brasileira de Cardiologia (SBC)
• Subjects: CARDIAC & CARDIOVASCULAR SYSTEMS; Doença da Artéria Coronariana; Infarto do Miocárdio; Intervenção Coronária Percutânea; Revascularização Miocárdica; Review; Stents; Myocardial Infarction; Revascularização Miocárdica; Infarto do Miocárdio; Intervenção Coronária Percutânea; Coronary Artery Disease; Stents; Percutaneous Coronary Intervention; Doença da Artéria Coronariana; Myocardial Revascularization
• ISSN: 0066-782X; 1678-4170; 1678-4170
• DOI: 10.5935/abc.20170174

The best approach of multivessel coronary artery disease in the context of acute myocardial infarction with ST segment elevation and primary percutaneous coronary intervention is one of the main reasons for controversy in cardiology. Although the main global guidelines do not recommend routine complete revascularization in these patients, recent randomized clinical trials have demonstrated benefit of this approach in reducing cardiovascular outcomes. For this reason, an adequate review of this evidence is essential in order to establish scientifically based strategy and achieve better outcomes for these patients who present with acute myocardial infarction. This review aims to present objectively the most recent evidence available on this topic.