The Role of Multivessel Coronary Intervention in ST-Segment Elevation Myocardial Infarction Complicated by Cardiogenic Shock
| Autor: | Ian C. Gilchrist, Pradeep Yadav, Giselle A. Baquero |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
business.industry Cardiogenic shock medicine.medical_treatment Percutaneous coronary intervention Critical Care and Intensive Care Medicine medicine.disease Revascularization medicine.anatomical_structure Intervention (counseling) Internal medicine Conventional PCI Cardiology Medicine ST segment cardiovascular diseases Myocardial infarction business Artery |
| Zdroj: | Critical Care Medicine. 42:192-194 |
| ISSN: | 0090-3493 |
| DOI: | 10.1097/ccm.0b013e3182a6374f |
| Popis: | 192 www.ccmjournal.org Cardiogenic shock (CS) complicates 7–10% of ST-segment elevation myocardial infarctions (STEMI). In the last decade, increased availability of percutaneous coronary intervention (PCI) has decreased the prevalence of CS in STEMI; despite this, mortality in these patients remains above 50%. It has been demonstrated that prompt PCI can improve outcomes among patients with STEMI complicated by CS (1, 2). A majority of these patients have associated multivessel disease (MVD) (3, 4) that is an independent predictor of mortality (5, 6). Optimal revascularization strategies in these patients remain controversial (7–13). Guidelines from the American College of Cardiology/American Heart Association and the European Society of Cardiology state that only the infarctrelated artery (IRA) should be treated during the initial intervention for patients not in CS (14, 15). There are exceptions, although present guidelines do not explicitly recommend it. The Role of Multivessel Coronary Intervention in ST-Segment Elevation Myocardial Infarction Complicated by Cardiogenic Shock: Have We Reached a Verdict?* |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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