SOLELY INFARC-RELATED ARTERY VERSUS STAGED PERCUTANEOUS CORONARY INTERVENTION IN ST ELEVATION MYOCARDIAL INFARCTION PATIENTS WITH MULTIVESSEL CORONARY DISEASE

Today, there are different interventional approaches for patients undergoing ST elevation myocardial infarction (STEMI) with multiple vessel diseases. Objectives: to compare the mid-term results of two strategies of myocardial revascularization used for the management of patients with STEMI with multiple vessel diseases. Material and methods: we analyzed retrogradely 64 profiles of patients diagnosed STEMI with multiple vessel diseases on coronary angiography and underwent angioplasty in Cardiovascular department from 5/2013 – 1/2014. The patients had been divided into 2 groups: group 1 (percutaneous coronary intervention (PCI) of the sole Infarct-related artery followed by medical therapy, n=33) and group 2 (staged PCI in STEMI patients with multiple vessel diseases, n=31). Results: group 2 had comparable combined end-points (death + Myocardial infarction + revascularization) rate but higher rate of detection of significantly stenosed non-culprit vessels than those of group 1. Conclusion: for the STEMI patients with multiple vessel diseases admitted to Hue University hospital, staged PCI was better than PCI of the sole infarct-related artery in term of omitting less patients who were appropriate for revascularization (these patients had no indication for coronary artery bypass graft). However, these two approaches had no statistical difference regarding to major adverse cardiac events. Key words: Acute myocardial infarction, Multivessel disease, Primary percutaneous coronary intervention