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Background Nearly 40% of the patients presenting with ST Elevation Myocardial Infarction (STEMI) have multivessel disease (MVD). Currently ESC and the ACC/AHA guidelines recommend revascularization of the culprit artery only. 2 recent trials (PRAMI and CVLPRIT) have shown a superiority of complete in-hospital revascularisation as compared to culprit only treatment. Although the mortality in the 2 groups in the trials were not significantly different but the composite end point was, which was mainly driven by ischaemia.

journal of cardiovascular magnetic resonance

Stress CMR as a gatekeeper to complete revascularisation in STEMI patients with moderate-severe bystander disease at primary percutaneous coronary intervention