Culprit, Complete, or Cautious? 🔧❤️🕰️": Decoding Revascularisation Timing in STEMI
Dr RR Baliga's "Got Knowledge Doc" Podkast
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Show Notes
🚨 New insights from the Lancet! 🚑
In the OPTION–STEMI trial, immediate multivessel PCI during the index procedure failed to show non-inferiority compared to staged revascularisation in STEMI patients with multivessel disease.
🧠 Key takeaway? Timing matters.
⚠️ Higher risk in those with heart failure (Killip II/III)
💡 Safer strategy: staged PCI for high-risk patients
📊 Fractional flow reserve, procedural MI, and guideline implications all in focus.
A must-read for interventionalists & clinical guideline leaders.
🔗 https://doi.org/10.1016/S0140-6736(25)01529-6
#STEMI #PCI #InterventionalCardiology #Lancet #CardioTwitter #Revascularisation #KillipClass #FFR #ClinicalTrials #Cardiology ❤️🫀