Bigarren mailako lesioen birbaskularizazioa ST segmentuaren igoera duen sindrome koronario akutuan
- Mora Ayestarán, Nerea 1
- Zubia Olaskoaga, Felix 2
- Roy Añón, Ignacio 1
- 1 Nafarroako Osasun Gunea, kardiologiako zerbitzua
- 2 Donostia Unibertsitate Ospitalea, medikuntza intentsiboko zerbitzua Euskal Herriko Unibertsitatea
ISSN: 2530-9412
Year of publication: 2020
Volume: 4
Issue: 1
Pages: 51-68
Type: Article
More publications in: Osagaiz: osasun-zientzien aldizkaria
Abstract
Percutaneous coronary intervention (PCI) of the culprit lesion is now considered the gold standard in the treatment for patients with ST-segment elevation myocardial infarction (STEMI). Multivessel coronary artery disease (MVD) is found in approximately 40-65% of patients with STEMI undergoing primary PCI. The optimal reperfusion strategy and timing of revascularization (MV-PCI, S-PCI or IRA-PCI) in hemodynamically stable patients with STEMI and multivessel disease remains uncertain. Recent studies suggest that complete revascularization is superior to culprit-only revascularization in this context. In this review, we summarize the available evidence on treatment options for patients with STEMI and MVD.