culprit lesions are guilty by association

A UK based study has just been published in the NEJM helping to answer a long standing question - what are we to do with significant lesions in nonculprit coronary arteries when someone has had a STEMI and is undergoing PCI.  In a study of about 450 patients randomised to either multivessel or culpri vessel pci 21 patients in the preventive PCI group and 53 in the infarct artery only PCI group died from cardiac causes or experienced non-fatal myocardial infarction or refractory angina. More evidence that total revascularisation is best if possible? sadian http://www.nejm.org/doi/full/10.1056/NEJMoa1305520
Source: Doc2Doc BMJ Cardiology - Category: Cardiology Authors: Source Type: forums