Complete versus culprit only revascularisation in patients with cardiogenic shock complicating acute myocardial infarction: Incidence and outcomes from The London Heart Attack Group.

Cardiovascular Revascularization Medicine(2020)

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摘要
•Patients with Cardiogenic Shock (CS) presenting with STEMI still have high mortality rates.•This study aimed to assess the trends in management of CS patients with multi-vessel disease (MVD), particularly looking at the incidence and outcomes of complete revascularisation compared to culprit vessel only.•This was an observational study of 21,210 STEMI patients between 2005 and 2015 at 8 Heart Attack Centres in London, UK.•We found that complete revascularisation appears to be associated with better outcomes compared to culprit vessel only intervention.•This supports on-going clinical trials in this area and provides further evidence of the association of complete revascularisation in STEMI with good outcomes.
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关键词
Primary PCI,Cardiogenic shock,Multi-vessel intervention,Myocardial infarction
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