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dc.contributor.authorCalviño Santos, Ramón 
dc.contributor.authorEstevez Loureiro, Rodrigo 
dc.contributor.authorPETEIRO VAZQUEZ, JESUS CARLOS 
dc.contributor.authorSALGADO FERNANDEZ, JORGE 
dc.contributor.authorRodríguez Vilela, Alejandro 
dc.contributor.authorFranco-Gutiérrez, Raúl
dc.contributor.authorBouzas-Mosquera, Alberto
dc.contributor.authorRodríguez-Fernández, José Ángel
dc.contributor.authorMesías Prego, José Alejandro 
dc.contributor.authorGonzález Juanatey, Carlos 
dc.contributor.authorAldama-López, Guillermo
dc.contributor.authorPiñón Esteban, Pablo 
dc.contributor.authorFLORES RIOS, XACOBE 
dc.contributor.authorSoler Martin, Rita
dc.contributor.authorSeoane Pillado, María Teresa 
dc.contributor.authorVázquez González, Nicolás 
dc.contributor.authorMuñiz García, Javier 
dc.contributor.authorVázquez Rodríguez, José Manuel 
dc.date.accessioned2021-12-10T09:00:59Z
dc.date.available2021-12-10T09:00:59Z
dc.date.issued2019
dc.identifier.issn1941-7632
dc.identifier.otherhttps://www.ncbi.nlm.nih.gov/pubmed/31554422es
dc.identifier.urihttp://hdl.handle.net/20.500.11940/15814
dc.description.abstractBACKGROUND: Recent trials suggest that complete revascularization in patients with acute ST-segment-elevation myocardial infarction and multivessel disease is associated with better outcomes than infarct-related artery (IRA)-only revascularization. There are different methods to select non-IRA lesions for revascularization procedures. We assessed the clinical outcomes of complete angiographically guided revascularization versus stress echocardiography-guided revascularization in patients with ST-segment-elevation myocardial infarction. METHODS: We performed a randomized clinical trial in patients with multivessel disease who underwent a successful percutaneous coronary intervention of the IRA to test differences in prognosis (composite end point included cardiovascular mortality, nonfatal reinfarction, coronary revascularization, and readmission for heart failure after 12 months of follow-up) between complete angiographically guided revascularization (n=154) or stress echocardiography-guided revascularization (n=152) of the non-IRA lesions in an elective procedure before hospital discharge. RESULTS: The trial was prematurely stopped after the inclusion of 77% of the planned study population. As many as 152 (99%) patients in the complete revascularization group and 44 (29%) patients in the selective revascularization group required a percutaneous coronary intervention procedure of a non-IRA lesion before discharge. The primary end point occurred in 21 (14%) patients of the stress echocardiography-guided revascularization group and 22 (14%) patients of the complete angiographically guided revascularization group (hazard ratio, 0.95; 95% CI, 0.52-1.72; P=0.85). CONCLUSIONS: In patients with ST-segment-elevation myocardial infarction and multivessel disease, stress echocardiography-guided revascularization may not be significantly different to complete angiographically guided revascularization, thereby reducing the need for elective revascularization before hospital discharge. CLINICAL TRIAL REGISTRATION: URL: https://www.clinicaltrials.gov. Unique identifier: NCT01179126.es
dc.language.isoenges
dc.subject.meshRisk Factors*
dc.subject.meshMiddle Aged*
dc.subject.meshExercise Test*
dc.subject.meshPatient Readmission*
dc.subject.meshPredictive Value of Tests*
dc.subject.meshEchocardiography*
dc.subject.meshPercutaneous Coronary Intervention*
dc.subject.meshCoronary Angiography*
dc.subject.meshHumans*
dc.subject.meshCoronary Artery Disease*
dc.subject.meshRecurrence*
dc.subject.meshAged*
dc.subject.meshCoronary Vessels*
dc.subject.meshEarly Termination of Clinical Trials*
dc.subject.meshHeart Failure*
dc.titleAngiographically Guided Complete Revascularization Versus Selective Stress Echocardiography-Guided Revascularization in Patients With ST-Segment-Elevation Myocardial Infarction and Multivessel Disease: The CROSS-AMI Randomized Clinical Triales
dc.typeArtigoes
dc.authorsophosCalviño-Santos, Ramón
dc.authorsophosEstévez-Loureiro, Rodrigo
dc.authorsophosPeteiro-Vázquez, Jesús
dc.authorsophosSalgado-Fernández, Jorge
dc.authorsophosRodríguez-Vilela, Alejandro
dc.authorsophosFranco-Gutiérrez, Raúl
dc.authorsophosBouzas-Mosquera, Alberto
dc.authorsophosRodríguez-Fernández, José Ángel
dc.authorsophosMesías-Prego, Alejandro
dc.authorsophosGonzález-Juanatey, Carlos
dc.authorsophosAldama-López, Guillermo
dc.authorsophosPiñón-Esteban, Pablo
dc.authorsophosFlores-Ríos, Xacobe
dc.authorsophosSoler-Martín, Rita
dc.authorsophosSeoane-Pillado, Teresa
dc.authorsophosVázquez-González, Nicolás
dc.authorsophosMuñiz, Javier
dc.authorsophosVázquez-Rodríguez, José Manuel
dc.identifier.doi10.1161/CIRCINTERVENTIONS.119.007924
dc.identifier.pmid31554422
dc.identifier.sophos32112
dc.issue.number10es
dc.journal.titleCirc Cardiovasc Interves
dc.organizationServizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de Ferrol – Complexo Hospitalario Universitario de Ferrol::Cardioloxíaes
dc.organizationServizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de A Coruña - Complexo Hospitalario Universitario de A Coruña::Cardioloxíaes
dc.organizationServizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de Vigo - Complexo Hospitalario Universitario de Vigo::Cardioloxíaes
dc.organizationServizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::Instituto de Investigación Biomédica da Coruña (INIBIC)es
dc.page.initiale007924es
dc.page.finale007924es
dc.relation.publisherversionhttps://www.ahajournals.org/doi/pdf/10.1161/CIRCINTERVENTIONS.119.007924?download=truees
dc.rights.accessRightsembargoedAccesses
dc.subject.decsprueba de esfuerzo*
dc.subject.decsfactores de riesgo*
dc.subject.decsecocardiografía*
dc.subject.decspruebas de valores predictivos*
dc.subject.decsmediana edad*
dc.subject.decsvasos coronarios*
dc.subject.decsanciano*
dc.subject.decsreingreso de pacientes*
dc.subject.decsrecurrencia*
dc.subject.decsangiografía coronaria*
dc.subject.decshumanos*
dc.subject.decsenfermedad arterial coronaria*
dc.subject.decsinsuficiencia cardíaca*
dc.subject.decscirugía coronaria percutánea*
dc.subject.decsterminación temprana de ensayos clínicos*
dc.subject.keywordCHUFes
dc.subject.keywordCHUACes
dc.subject.keywordCHUVIes
dc.subject.keywordINIBICes
dc.typefidesArtículo Originales
dc.typesophosArtículo Originales
dc.volume.number12es


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