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Coronary Artery Disease

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JUL 9, 2026 · JOURNAL ARTICLE

Management of multivessel disease in patients with ST-segment elevation myocardial infarction: questioning routine immediate complete revascularization in all patients

Coronary Artery Disease

A narrative review synthesizing recent trial evidence on STEMI multivessel disease management, acknowledging conflicting results and proposing a shift in clinical paradigm toward individualized physiology-guided approaches rather than routine immediate complete revascularization.

Expert GuidanceCardiac Imaging and Diagnostics Raffi Bekeredjian Tim Heller

Reported

Prevalence of multivessel disease…nearly half of all patients

ESC guideline revascularization w…within 45 days

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