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REVASCULARISATION FOR STEMI
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Author:  gmohan [ 23 Jul 2020 20:29 ]
Post subject:  REVASCULARISATION FOR STEMI

Complete vs Culprit Lesion–Only Revascularization for STEMI
JAMA Cardiology-JUNE 2020

TAKE-HOME MESSAGE

The authors of this meta-analysis of 10 randomized trials, 7030 patients, evaluated the association between complete revascularization of the nonculprit lesion among patients with STEMI and the risk of cardiovascular (CV) mortality.

After a mean follow-up of 29.5 months, complete revascularization was associated with reduced CV mortality compared with culprit lesion–only PCI.

The use of a fractional flow reserve (FFR)–guided strategy or an angiography-guided strategy did not impact the association between complete revascularization and the reduced risk of CV death.

Complete revascularization was associated with a reduced risk of CV mortality compared with culprit lesion–only PCI in patients with STEMI using either an FFR- or angiography-guided strategy.

FULL ABSTRACT AVAILABLE FROM AUTHOR ON REQUEST

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