الفهرس | Only 14 pages are availabe for public view |
Abstract PCI is currently the treatment of choice in patients with acute STEMI. CAD is a diffuse process and patients presenting with a coronary syndrome in 20- 40% of cases have multiple significant coronary lesions, which confer a substantially increased risk of cardiovascular morbidity and mortality and so treatment strategies vary widely from an aggressive approach which treats all significant lesions in the acute phase of PPCI to a conservative approach with PPCI of only the IRA and subsequent medical therapy unless recurrent ischaemia occurs. Between these two extremes are other alternatives; mainly that of staged procedures with the IRA treated acutely and other lesions treated later during the hospital stay or within the first month following discharge. The aim of our study was to compare between two different strategies during primary PCI in patients with acute STEMI and multi vessel CAD with left ventricular systolic dysfunction: treatment of infarct artery only (culprit only revascularization) and simultaneous treatment of IRA and non IRA (total revascularization). Our study included fifty patients with recent history of acute ST- segment elevation myocardial infarction with left ventricularsystolic dysfunction and had MVD during diagnostic coronary angiography whom underwent primary percutaneous coronary intervention and were divided in to two. |