Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Department of Cardiology, Amsterdam UMC, Amsterdam, the Netherlands.
JACC Cardiovasc Interv. 2020 May 25;13(10):1145-1154. doi: 10.1016/j.jcin.2020.02.030.
Nonculprit lesions are frequently observed in patients with ST-segment elevation myocardial infarction. Results from recent randomized clinical trials suggest that complete revascularization after ST-segment elevation myocardial infarction improves outcomes. In this state-of-the-art paper, the authors review these trials and consider how best to determine which nonculprit lesions require revascularization and when this should be performed.
非罪犯病变在 ST 段抬高型心肌梗死患者中经常观察到。最近随机临床试验的结果表明,ST 段抬高型心肌梗死后的完全血运重建可改善预后。在这篇最新的论文中,作者回顾了这些试验,并探讨了如何最好地确定哪些非罪犯病变需要血运重建以及何时进行。