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Primary percutaneous coronary intervention (P-PCI) is the treatment of choice for patients with ST-segment elevation myocardial infarction (STEMI) [1]. Around 30%, patients with multi-vessel disease (MVD) have significant stenoses seen in 1 or more non–infarct related arteries (N-IRA) during index angiography, a negative prognostic predictor of long-term outcome [2]. This notwithstanding, treatment of N-IRA lesions is not recommended by current guidelines unless hemodynamic compromise or residual ischemia are present [1]. Literature reports give conflicting results and sufficiently powered randomized [3–9] clinical trials are lacking [10,11]. The Purpose of this study

icf journal/international cardiovascular forum journal

Comparative Effectiveness of Complete Revascularization versus Infarct Related Artery-only Percutaneous Coronary Revascularization for Multivessel Disease after ST-Segment Elevation Myocardial Infarction