https://www.ahajournals.org/doi/full/10.1161/CIRCINTERVENTIONS.119.007924
WHAT IS KNOWN
- Multivessel disease is frequently observed in patients with acute myocardial infarction.
- Complete revascularization in patients with acute ST-segment–elevation myocardial infarction and multivessel disease is associated with better clinical outcomes than infarct-related artery–only revascularization.
WHAT THE STUDY ADDS
- A selective stress echocardiography–guided revascularization strategy was safe and may not be significantly different to complete angiographically guided revascularization.
- Moreover, stress echocardiography–guided revascularization strategy significantly reduced the need for predischarge elective revascularization procedures.
Em pacientes com infarto do miocárdio com elevação do segmento ST e doença multiarterial, a revascularização guiada por ecocardiografia de estresse pode não ser significativamente diferente da revascularização completa guiada por angiografia, reduzindo assim a necessidade de revascularização eletiva antes da alta hospitalar.