Complete revascularization timing in ST-segment elevation myocardial infarction and multivessel disease with heart failure: the OPTION–STEMI trial

In the OPTION-STEMI trial, among patients with STEMI and multi-vessel disease who were not in cardiogenic shock, immediate complete revascularization was not non-inferior compared with staged complete revascularization. However, subgroup analysis suggests that the worse outcomes with immediate complete revascularization may be limited to patients with heart failure at admission. Further studies are required to demonstrate the non-inferiority of immediate complete revascularization compared with staged complete revascularization in patients without heart failure.

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Publication Details

Journal
European Heart Journal
Published
2025-11-02
DOI
https://doi.org/10.1093/eurheartj/ehaf924
Citations
1
Primary Topic
Coronary Interventions and Diagnostics
Type
article
Field-Weighted Citation Impact
2.01
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article

Complete revascularization timing in ST-segment elevation myocardial infarction and multivessel disease with heart failure: the OPTION–STEMI trial

Seongho Park, Seok Oh, Yongwhan Lim, Weon Kim et al.
1 citations
European Heart Journal
Coronary Interventions and Diagnostics
2.01
article

Complete revascularization timing in ST-segment elevation myocardial infarction and multivessel disease with heart failure: the OPTION–STEMI trial

Seongho Park, Seok Oh, Yongwhan Lim, Weon Kim, Jay Young Rhew, Dae Young Hyun, Sang-Yong Yoo, S R Lee, K H Cho, Myung Ho Jeong, Young Joon Hong, Young Jin Youn, Youngkeun Ahn, Young-Hoon Jeong, Eun Ho Choo, Min Chul Kim, Jin-Yong Hwang, Dong Oh Kang, Dong-Bin Kim, Jong-Hwa Ahn, Jang Hyun Cho, Chan Joon Kim, Doo Sun Sim, Jong-Il Park, Jung-Hee Lee, Joon Ho Ahn, Ju Han Kim
article en
1 citations

Abstract

In the OPTION-STEMI trial, among patients with STEMI and multi-vessel disease who were not in cardiogenic shock, immediate complete revascularization was not non-inferior compared with staged complete revascularization. However, subgroup analysis suggests that the worse outcomes with immediate complete revascularization may be limited to patients with heart failure at admission. Further studies are required to demonstrate the non-inferiority of immediate complete revascularization compared with staged complete revascularization in patients without heart failure.

European Heart JournalVol. 47(12)
Pyeongtaek University (KR), Korea University Medical Center (KR), Gyeongsang National University Hospital (KR), Chonnam National University Hospital (KR), Mokpo National Tuberculosis Hospital (KR), Veterans Health Service Medical Center (KR), Wonju Severance Christian Hospital (KR), Presbyterian Medical Center (KR), The Catholic University of Korea Uijeongbu St. Mary's Hospital (KR), Kyung Hee University Medical Center (KR), Daejeon Sun Hospital (KR), Jeonbuk National University Hospital (KR), The Catholic University of Korea Bucheon St. Mary's Hospital (KR), Gangneung Asan Hospital (KR), Yeungnam University Medical Center (KR), Chung-Ang University Hospital (KR), The Catholic University of Korea Seoul St. Mary's Hospital (KR), Korea University (JP), Jeonbuk National University (KR)
Good health and well-being
Openalex Percentile: Top 10%
Coronary Interventions and Diagnostics
2.01
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