Biomedical Research

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Comparison of different revascularization strategies in patients with acute myocardial infarction complicated with multi vessel disease

Objective: This study aims at a comparative study to the clinical effects of complete revascularization vs. incomplete revascularization strategies for patients with acute myocardial infarction accompanying by multi-vessel lesion.

Method: A retrospective analysis is conducted to the clinical data of 200 cases, i.e., the patients with acute myocardial infarction and multi-vessel lesion from January, 2012 to January, 2017 in our hospital. According to the situation of intra-coronary revascularization, these cases are divided into two groups, 100 cases of multi-vessel Complete Revascularization group (CR group) and 100 cases of multi-vessel Incomplete Revascularization group (IR group). The comparisons are on the situations of coronary artery lesion and stent implantation of the two group patients, as well as the endpoint event incidence of cardiovascular disease during 1 y post-operation follow-up.

Result: The post-operation follow-up indicates that, the incidences of recurrence of angina pectoris, repeat revascularization and major adverse cardiac events for IR group are significantly higher than that of CR group, with statistical significance for data comparison of the two groups (P<0.05).

Conclusion: The clinical effects of intra-coronary complete revascularization to the patients with myocardial infarction accompanying by multi-vessel lesion is superior to the treatment of incomplete revascularization.

Author(s): Jiazhong Lu