Abstract

Multivessel coronary artery disease (MVD) in ST-segment elevation myocardial infarction (STEMI) is a common clinical condition encountered by interventional cardiologists and it is associated with poorer clinical outcomes than single-vessel disease [1]. Current guidelines recommend culprit-vessel only revascularization (CVR) during primary angioplasty, except in patients that are hemodynamically unstable [2]. Several recent studies have reported promising results from CVR followed by elective second-stage PCI at non-infarct related arteries with significant stenosis.

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