Meta-analysis comparing culprit-only vs complete multivessel percutaneous coronary intervention in patients with ST-elevation myocardial infarction
The American Journal of Cardiology Oct 15, 2020
Ullah W, Zahid S, Nadeem N, et al. - Given that poor prognosis in relation to ST-segment elevation myocardial infarction (STEMI) has been seen in patients with concomitant multivessel coronary artery disease, therefore, researchers investigated the benefits of percutaneous coronary intervention of the culprit-only revascularization (COR) vs multivessel revascularization (MVR) approach. They selected relevant articles from multiple databases. This analysis involved 28 studies with 26,892 patients, 18,377 in the COR and 8,515 in the MVR group. Findings demonstrated a significant decrease in major adverse cardiovascular events, angina and need for revascularization, in relation to multivessel revascularization vs the culprit-only approach in patients with STEMI.
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