Non-Culprit Lesion PCI Strategies in Patients with Acute Myocardial Infarction and Cardiogenic Shock Revisited

Applications for Clinical Practice

In patients presenting with cardiogenic shock and acute myocardial infarction, culprit lesion-only intervention and staged intervention if necessary, seems to be a better strategy. However, there may be benefit in multivessel intervention in this population, depending on the timing and revascularization strategy. Further studies are needed.

—Taishi Hirai, MD, and John E.A. Blair, MD, University of Chicago Medical Center, Chicago, IL