title: Percutaneous management of patients with acute coronary syndromes from unprotected left main disease: A comprehensive review and presentation of a treatment algorithm.
abstract: The patient with acute coronary syndrome, particularly with myocardial infarction, from an unprotected left main coronary stenosis represents one of the highest risk subgroups with mortality exceeding 25-50%. Once a patient develops cardiogenic shock, the risk of death during index hospitalization is exceedingly high. Percutaneous coronary intervention may improve short- and long-term outcome, particularly if performed prior to shock development. Should the patient survive index hospitalization, survival tends to be rather good. This review summarizes current knowledge and proposes a clinical algorithm for evaluation and treatment. © 2015 Wiley Periodicals, Inc.
authors.affiliation: Cardiology Division, University of Arkansas for Medical Sciences, Central Arkansas Veterans Health System, Little Rock, Arkansas.
authors.forename: Barry F
authors.initials: BF
authors.lastname: Uretsky
authors.affiliation: Cardiology Division, University of Arkansas for Medical Sciences, Central Arkansas Veterans Health System, Little Rock, Arkansas.
authors.forename: Jacob
authors.initials: J
authors.lastname: Mathew
authors.affiliation: Cardiology Division, University of Arkansas for Medical Sciences, Central Arkansas Veterans Health System, Little Rock, Arkansas.
authors.forename: Zubair
authors.initials: Z
authors.lastname: Ahmed
authors.affiliation: Cardiology Division, University of Arkansas for Medical Sciences, Central Arkansas Veterans Health System, Little Rock, Arkansas.
authors.forename: Abdul
authors.initials: A
authors.lastname: Hakeem
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000601:surgery*; D000465:Algorithms; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods*
keywords: acute coronary syndrome; cardiogenic shock; myocardial infarction; percutaneous coronary intervention; unprotected left main disease