2015 ACC/AHA/SCAI focused update on primary percutaneous coronary intervention for patients with ST‐elevation myocardial Infarction: An update of the 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention and the 2013 ACCF/AHA guideline for the management of ST‐elevation myocardial infarction: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Society for Cardiovascular Angiography and Interventions
Why the study?
Does multivessel PCI improve clinical outcomes compared to culprit artery-only PCI in hemodynamically stable patients with STEMI and multivessel disease?
Population
Hemodynamically stable patients with ST-elevation myocardial infarction and multivessel disease undergoing…
Comparison
Multivessel percutaneous coronary intervention… vs Culprit artery-only primary PCI.
Design
Guideline
Authors
Discussion
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Member takes
Implication
Permits consideration of multivessel PCI in stable STEMI; extends recent RCT data into guidelines.
Structured PICO
Does multivessel PCI improve clinical outcomes compared to culprit artery-only PCI in hemodynamically stable patients with STEMI and multivessel disease?
P
Population
Hemodynamically stable patients with ST-elevation myocardial infarction (STEMI) and multivessel disease undergoing primary percutaneous coronary intervention (PCI).
I
Intervention
Multivessel percutaneous coronary intervention (PCI), either at the time of primary PCI or as a planned, staged procedure.
C
Comparator
Culprit artery-only primary PCI.
This focused update revises previous guidelines by upgrading multivessel PCI in hemodynamically stable STEMI patients from a Class III (harm) to a Class IIb recommendation.
Cite This Study
Levine et al. (2015) studied this question.