Why the study?
Does multi-vessel angioplasty reduce in-hospital mortality compared to single-vessel angioplasty in patients with acute myocardial infarction and multi-vessel coronary artery disease?
Does multi-vessel angioplasty reduce in-hospital mortality compared to single-vessel angioplasty in patients with acute myocardial infarction and multi-vessel coronary artery disease?
Multi-vessel angioplasty during acute myocardial infarction may be safe and is associated with lower in-hospital mortality compared to infarct-related angioplasty in selected patients.
Does not support changing practice yet; leaves open whether RCTs will confirm mortality benefit in AMI.
Despite the added complexity of multi-vessel angioplasty, patients in this group had significantly lower in-hospital mortality. Therefore, a strategy of multi-vessel angioplasty during acute myocardial infarction may be safe compared with infarct-related angioplasty in selected patients.
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Kong et al. (2005) studied this question.
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