Complete revascularisation in STEMI: consider the benefits but do not forget the risks!

Andreas Mitsis, Alessandro Spirito, Marco Valgimigli


Multivessel disease is a common scenario in ST elevation myocardial infraction (STEMI) patients and up to 50% of them may have additional angiographically severe lesions in non-culprit coronaries (1,2). Patients with extensive disease in vessels other than the infract related artery (IRA) are known to have inferior prognosis compared with the patients with single-vessel disease (3,4).