Complete Revascularization vs Culprit Lesion–Only Percutaneous Coronary Intervention for Angina-Related Quality of Life in Patients With ST-Segment Elevation Myocardial Infarction
Why the study?
Does complete revascularization improve angina-related quality of life compared to culprit lesion-only PCI in patients with STEMI and multivessel CAD?
Population
Patients with STEMI and multivessel CAD
Comparison
Complete revascularization vs culprit lesion-only strategy
Authors
Discussion
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Member takes
Implication
Modest angina benefit may not shift practice; leaves open net clinical value of complete revascularization in STEMI.
Structured PICO
Does complete revascularization improve angina-related quality of life compared to culprit lesion-only PCI in patients with STEMI and multivessel CAD?
P
Population
Patients with ST-segment elevation myocardial infarction (STEMI) and multivessel coronary artery disease (CAD)
I
Intervention
Complete revascularization (percutaneous coronary intervention)
C
Comparator
Culprit lesion-only percutaneous coronary intervention
O
Outcome
Angina-related quality of life (proportion of patients being angina-free)patient reported
Complete revascularization provides a modest incremental improvement in angina-related quality of life for STEMI patients with multivessel CAD, adding to its established cardiovascular event benefits.
Cite This Study
Mehta et al. (2022) studied this question.