[ST segment elevation myocardial infarction: what is the best timing for revascularization of non-culprit lesions?].
Approximately 50% of patients admitted for ST-elevation myocardial infarction (STEMI) have multi-vessel disease. Current guidelines recommend revascularization of the culprit lesion only during the initial procedure except in cardiogenic shock. Benefits of revascularization of associated functional lesions are not debate. However, timing of the procedure is not clear. This article is a review over timing of secondary revascularization in STEMI patients with multi-vessels disease.
Department of cardiology, université Paris-Descartes, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris (AP-HP), 20, rue Leblanc, 75015 Paris, France.
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Assous
Department of cardiology, université Paris-Descartes, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris (AP-HP), 20, rue Leblanc, 75015 Paris, France; Inserm U-970, 75015 Paris, France. Electronic address: etiennepuymirat@yahoo.fr.
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Puymirat
D004562:Electrocardiography; D006801:Humans; D009203:Myocardial Infarction / Q000503:physiopathology* / Q000601:surgery*; D009204:Myocardial Revascularization / Q000592:standards*; D013997:Time Factors
Angioplastie; Culprit lesion; Lésion coupable; Percutaneous coronary intervention; Revascularisation; Revascularization; ST-elevation myocardial infarction; Syndrome coronarien aigu