PMID- 35703363
OWN - NLM
STAT- MEDLINE
DCOM- 20230320
LR  - 20230320
IS  - 1804-7521 (Electronic)
IS  - 1213-8118 (Linking)
VI  - 167
IP  - 1
DP  - 2023 Mar
TI  - Complete revascularization of multivessel coronary artery disease in patients 
      with ST elevation acute coronary syndrome - for whom and when? A comprehensive 
      review.
PG  - 16-23
LID - 10.5507/bp.2022.024 [doi]
AB  - Atherosclerosis is the most common cause of coronary steno-occlusive disease and 
      acute myocardial infarction is the leading cause of death in industrialized 
      countries. In patients with acute ST elevation myocardial infarction (STEMI), 
      there is unquestionable evidence that primary percutaneous coronary intervention 
      providing recanalization of the infarct related artery (IRA) is the preferred 
      reperfusion strategy. Nevertheless, up to 50% of patients with STEMI have 
      multivessel coronary artery disease defined as at least 50% stenosis exclusive of 
      IRA. There is conflicting data regarding the optimal treatment strategy and 
      timing in such patients. Currently, it is assumed that stable patients might 
      benefit from complete revascularization particularly in reducing the need for 
      future unplanned procedures but only culprit lesion should be treated during 
      index procedure in unstable patients. In this article, we provide a comprehensive 
      overview of this important and currently highly debated topic.
FAU - Spacek, Miloslav
AU  - Spacek M
AD  - Department of Internal Medicine I - Cardiology, Faculty of Medicine and 
      Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc, 
      Czech Republic.
FAU - Vacha, Jan
AU  - Vacha J
AD  - Department of Internal Medicine I - Cardiology, Faculty of Medicine and 
      Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc, 
      Czech Republic.
FAU - Precek, Jan
AU  - Precek J
AD  - Department of Internal Medicine I - Cardiology, Faculty of Medicine and 
      Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc, 
      Czech Republic.
FAU - Hutyra, Martin
AU  - Hutyra M
AD  - Department of Internal Medicine I - Cardiology, Faculty of Medicine and 
      Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc, 
      Czech Republic.
FAU - Nykl, Radomir
AU  - Nykl R
AD  - Department of Internal Medicine I - Cardiology, Faculty of Medicine and 
      Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc, 
      Czech Republic.
FAU - Sluka, Martin
AU  - Sluka M
AD  - Department of Internal Medicine I - Cardiology, Faculty of Medicine and 
      Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc, 
      Czech Republic.
FAU - Taborsky, Milos
AU  - Taborsky M
AD  - Department of Internal Medicine I - Cardiology, Faculty of Medicine and 
      Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc, 
      Czech Republic.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20220614
PL  - Czech Republic
TA  - Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub
JT  - Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, 
      Czechoslovakia
JID - 101140142
SB  - IM
MH  - Humans
MH  - *Coronary Artery Disease/complications/surgery
MH  - *ST Elevation Myocardial Infarction/etiology/surgery
MH  - *Acute Coronary Syndrome/etiology/surgery
MH  - Treatment Outcome
MH  - *Myocardial Infarction
MH  - *Percutaneous Coronary Intervention/adverse effects
MH  - Arrhythmias, Cardiac
OTO - NOTNLM
OT  - acute ST elevation myocardial infarction (STEMI)
OT  - atherosclerosis
OT  - complete revascularization
OT  - coronary flow
OT  - fractional flow reserve (FFR)
OT  - infarct related artery (IRA)
OT  - multivessel coronary artery disease (CAD)
COIS- The authors report no conflicts of interest in this work.
EDAT- 2022/06/16 06:00
MHDA- 2023/03/21 06:00
CRDT- 2022/06/15 06:52
PHST- 2022/03/25 00:00 [received]
PHST- 2022/05/17 00:00 [accepted]
PHST- 2022/06/16 06:00 [pubmed]
PHST- 2023/03/21 06:00 [medline]
PHST- 2022/06/15 06:52 [entrez]
AID - 10.5507/bp.2022.024 [doi]
PST - ppublish
SO  - Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2023 Mar;167(1):16-23. doi: 
      10.5507/bp.2022.024. Epub 2022 Jun 14.