ACCEL Lite: Managing MVD in STEMI: What We Know and What We Still Need to Learn!

Patients with heart attacks often have a lifesaving procedure to open up the narrowed or blocked coronary artery responsible for their heart attack. In about 30-50% of these patients, additional blockages or narrowings that did not cause the heart attack are found. Evidence doesn’t support clinical decision-making on how to identify which of these additional narrowings to open or whether to open all of them.

In this interview, Shamir R. Mehta MD, MSc, FACC, and Matt Cavender MD, MPH, FACC, discuss Managing MVD in STEMI: What We Know and What We Still Need to Learn!.

Related References:

  1. Mehta SR, Wood DA, Storey RF, Mehran R, Bainey KR, Nguyen H, Meeks B, Di Pasquale G, López-Sendón J, Faxon DP, Mauri L, Rao SV, Feldman L, Steg PG, Avezum Á, Sheth T, Pinilla-Echeverri N, Moreno R, Campo G, Wrigley B, Kedev S, Sutton A, Oliver R, Rodés-Cabau J, Stanković G, Welsh R, Lavi S, Cantor WJ, Wang J, Nakamya J, Bangdiwala SI, Cairns JA; COMPLETE Trial Steering Committee and Investigators. Complete Revascularization with Multivessel PCI for Myocardial Infarction. N Engl J Med. 2019 Oct 10;381(15):1411-1421. doi: 10.1056/NEJMoa1907775. Epub 2019 Sep 1. PMID: 31475795.
  2. Sheth T, Pinilla-Echeverri N, Moreno R, Wang J, Wood DA, Storey RF, Mehran R, Bainey KR, Bossard M, Bangalore S, Schwalm JD, Velianou JL, Valettas N, Sibbald M, Rodés-Cabau J, Ducas J, Cohen EA, Bagai A, Rinfret S, Newby DE, Feldman L, Laster SB, Lang IM, Mills JD, Cairns JA, Mehta SR. Nonculprit Lesion Severity and Outcome of Revascularization in Patients With STEMI and Multivessel Coronary Disease. J Am Coll Cardiol. 2020 Sep 15;76(11):1277-1286. doi: 10.1016/j.jacc.2020.07.034. PMID: 32912441.
  3. Pinilla-Echeverri N, Mehta SR, Wang J, Lavi S, Schampaert E, Cantor WJ, Bainey KR, Welsh RC, Kassam S, Mehran R, Storey RF, Nguyen H, Meeks B, Wood DA, Cairns JA, Sheth T. Nonculprit Lesion Plaque Morphology in Patients With ST-Segment-Elevation Myocardial Infarction: Results From the COMPLETE Trial Optical Coherence Tomography Substudys. Circ Cardiovasc Interv. 2020 Jul;13(7):e008768. doi: 10.1161/CIRCINTERVENTIONS.119.008768. Epub 2020 Jul 10. PMID: 32646305.

Clinical Topics: Stable Ischemic Heart Disease, Vascular Medicine, Chronic Angina, Acute Coronary Syndromes, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging

Keywords: ACCELLite, ST Elevation Myocardial Infarction

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