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Rivista sulle Malattie del Cuore e dei Vasi

Official Journal of the Italian Society of Angiology and Vascular Pathology
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Minerva Cardioangiologica 2018 Feb 19

DOI: 10.23736/S0026-4725.18.04646-7


lingua: Inglese

Revascularization strategies in STEMI with multivessel disease: when and how

Gianpiero D’AMICO 1 , Marco BASILE 2, Giuseppe TARANTINI 1, Alfredo MARCHESE 2

1 Cardiology Unit, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua Medical School, Padua, Italy; 2 Cardiology Unit, Anthea Hospital, GVM Care & Research, Bari, Italy


Acute ST-segment elevation myocardial infarction (STEMI) typically arises from total occlusion of an epicardial coronary artery, most often due to atherosclerotic plaque rupture/erosion and subsequent thrombus formation. Granted this, important angiographic information for patients presenting with STEMI is not only about the status of infarct-related artery (IRA) but also about the atherosclerotic disease burden and disease severity of non-IRA vessels. Previous studies have reported that multivessel (MV) coronary artery disease (CAD) is found in approximately 50% of patients with STEMI undergoing primary percutaneous coronary intervention (PCI) [1,2]. Primary PCI is now considered the gold standard in the treatment for patients with STEMI; however, the optimal reperfusion strategy in patients with STEMI and MV disease (MVD) remains uncertain. In this review, we summarize the available evidence on treatment options for patients with STEMI and MVD, and highlight current guideline recommendations on this topic.

KEY WORDS: STEMI - Infarct-related artery (IRA) - Reperfusion strategy - MVD

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Publication History

Article first published online: February 19, 2018
Manuscript accepted: February 14, 2018
Manuscript received: February 12, 2018

Per citare questo articolo

Basile M, Tarantini G, Marchese A. Revascularization strategies in STEMI with multivessel disease: when and how. Minerva Cardioangiol 2018 Feb 19. DOI: 10.23736/S0026-4725.18.04646-7

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