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Haq Ansari HU, Dar FN, Shaikh N, Noman A, Ahmed K, Asad U, Khalid K, Ahmed M, Zakarya A, Leel U, Shaikh RA, Abbas K. Impact of complete versus culprit-only revascularization on major adverse cardiovascular event in diverse subpopulations. Future Cardiol 2024:1-11. [PMID: 39230509 DOI: 10.1080/14796678.2024.2387516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2024] [Accepted: 07/30/2024] [Indexed: 09/05/2024] Open
Abstract
Background: Myocardial infarction management relies on pharmaceuticals and interventions like percutaneous coronary intervention (PCI). While complete PCI has shown noninferiority to culprit-only PCI, its impact on major adverse cardiovascular events (MACE) outcomes in multiple subpopulations has been unknown.Methods: A systematic literature search (from January 2000 to May 2024) identified four relevant randomized controlled trials involving ST-segment elevation myocardial infarction patients. Data analysis employed a random-effects model with inverse variance weighting.Results: MACE risk was significantly lower in males than females undergoing complete PCI compared with culprit-only PCI (hazard ratio: 0.52; 95% CI: 0.39-0.68; p < 0.01; I2 = 53%). Furthermore, complete PCI significantly lowered the risk of MACE outcomes in patients without diabetes and in patients under the 65-year age limit in comparison to culprit-only PCI.Conclusion: Complete PCI reduces MACE risk in male, nondiabetic ST-segment elevation myocardial infarction patients under 65 with multivessel coronary artery disease, necessitating further investigation into outcome differences among different subpopulations.
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Affiliation(s)
| | - Farea Noman Dar
- Department of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan
| | - Narmeen Shaikh
- Department of Medicine, Alfaisal University, Riyadh, Saudi Arabia
| | - Ayesha Noman
- Department of Internal Medicine, Dow University of Health Sciences, Pakistan
| | - Kamran Ahmed
- Department of Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan
| | - Uzair Asad
- Department of General Surgery, Nawaz Sharif Medical College, Lahore, Pakistan
| | - Khansa Khalid
- Department of Medicine, University of Health Sciences, Lahore, Pakistan
| | - Moiz Ahmed
- Department of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan
| | - Ahmad Zakarya
- Department of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan
| | - Usman Leel
- Department of Infectious Disease, University Hospital Limerick, Dooradoyle, Ireland
| | - Ruhina Adil Shaikh
- Department of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan
| | - Kiran Abbas
- Department of Medicine, Agha Khan University, Karachi, Pakistan
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Jacob R, Sachedina AK, Kumar S. Comprehensive Review of Complete Versus Culprit-only Revascularization for Multivessel Disease in ST-segment Elevation Myocardial Infarction. Heart Int 2021; 15:54-59. [DOI: 10.17925/hi.2021.15.1.54] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Accepted: 07/05/2021] [Indexed: 11/24/2022] Open
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