Why the study?
Does the presence of multivessel disease with or without a chronic total occlusion predict early and late mortality in STEMI patients with and without cardiogenic shock?
Does the presence of multivessel disease with or without a chronic total occlusion predict early and late mortality in STEMI patients with and without cardiogenic shock?
The presence of a concurrent chronic total occlusion in STEMI patients with multivessel disease is a strong driver of both short- and long-term mortality, particularly in those without cardiogenic shock.
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CTO in MVD identifies higher-risk non-CS STEMI; leaves open whether revascularization improves outcomes.
Hoebers et al. (2012) studied this question.
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