Is there a role for ischemia detection after an acute myocardial infarction?

作     者：Jesus Peteiro Alberto Bouzas-Mosquera 

作者机构：Unit of Echocardiography and Department of Cardiology Complejo Hospitalario Universitario de A Coru?a(CHUAC) CIVER-CVUniversity of A Coru?a 

出 版 物：《World Journal of Cardiology》 (世界心脏病学杂志（英文版）（电子版）)

年 卷 期：2020年第12卷第1期

页      面：1-6页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Ischemia Acute myocardial infarction Stress echocardiography Coronary angiography Stents 

摘      要：Coronary angiography and eventual revascularization have become the most common approaches for patients with acute coronary *** detection in this scenario is usually regarded as unnecessary for most of the *** fact,current guidelines recommend complete revascularization for patients with multivessel disease in the context of ST-elevation myocardial infarction,although it is in contrast with previous ***,some recent data suggested that ischemia could have a role for the decision of revascularization in these *** CROSS-AMI study randomized patients with ST-elevation myocardial infarction treated with primary angioplasty and who also had multivessel disease to a complete anatomic revascularization of the non-infarct related artery lesions vs subsequent revascularization of the noninfarct related artery lesions only if ischemia was demonstrated by stress *** main findings were that only 30%of the patients in the ischemia arm needed a second revascularization and that the outcome was similar in both *** non-ST-elevation acute coronary syndrome,coronary angiography is in general warranted for most of the ***,recent long-term published studies on patients randomized to an invasive or less aggressive approach based on ischemia detection have found no differences in *** ultimate study in non-ST-elevation acute coronary syndrome comparing ischemia detection with an invasive approach is ***,ischemia detection might have a role for stratifying these *** is particularly true in the current era of imaging of high quality and sensitivity,last generation stents,radial access and modern antithrombotic therapy.