Authors
Amardeep Ghosh Dastidar, Angus K Nightingale, Thomas W Johnson, Jonathan CL Rodrigues, Alexander Carpenter, Marco Cengarle, Anna Baritussio, Elisa McAlindon, Daniel X Augustine, Gianni Angelini, Julian Strange, Andreas Baumbach, Chiara Bucciarelli-Ducci
Publication date
2016/5/1
Source
Heart
Volume
102
Issue
Suppl 5
Pages
A2-A2
Publisher
BMJ Publishing Group Ltd and British Cardiovascular Society
Description
Introduction
40% of patients presenting with STEMI have multivessel disease (MVD). Current international guidelines recommend revascularisation of the culprit artery only. However recent trials (PRAMI/CVLPRIT) have shown a superiority of complete in-hospital revascularisation. Objective: Assess the role of non-invasive stress imaging as a gatekeeper to complete revascularisation in STEMI patients with moderate bystander disease.
Methods
A registry study of consecutive patients who underwent Primary Percutaneous Coronary Intervention (P-PCI) of the culprit artery. Significant MVD was defined as non-culprit stenosis ≥50% in large proximal epicardial vessel, or ≥75% elsewhere (moderate if 50–74% stenosis in large proximal epicardial vessel, or 75–94% elsewhere). Non-invasive stress imaging was performed at 4 weeks. Patients with severe or critical bystander disease were excluded from the study. A …
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