Bigarren mailako lesioen birbaskularizazioa ST segmentuaren igoera duen sindrome koronario akutuan

  1. Mora Ayestarán, Nerea 1
  2. Zubia Olaskoaga, Felix 2
  3. Roy Añón, Ignacio 1
  1. 1 Nafarroako Osasun Gunea, kardiologiako zerbitzua
  2. 2 Donostia Unibertsitate Ospitalea, medikuntza intentsiboko zerbitzua Euskal Herriko Unibertsitatea
Journal:
Osagaiz: osasun-zientzien aldizkaria

ISSN: 2530-9412

Year of publication: 2020

Volume: 4

Issue: 1

Pages: 51-68

Type: Article

DOI: 10.26876/OSAGAIZ.1.2020.292 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

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.