Other management considerations in STEMI: multivessel disease and revascularisation

Approximately 50% of patients diagnosed with a STEMI have disease in more than one coronary artery (ie a stenosis in the vessel that did not cause the STEMI [nonculprit vessel]). Randomised trials have demonstrated that complete revascularisation of all suitable nonculprit coronary artery lesions is beneficialMehta, 2019. This is usually performed after the index coronary angiogram, but before discharge, with consideration of other factors such as anatomical suitability, kidney function, age and comorbidities.