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. 2018 Sep;13(3):129–134. doi: 10.15420/icr.2018.13.2

Table 1: Overview of RCTs Comparing Culprit Only to Multivessel Revascularisation in Acute STEMI Patients.

RCT Inclusion period Culprit only (n) Complete, index (n) Complete, staged (n) Lesion criteria ( % stenosis) Type of complete revascularisation Primary endpoint FUP, months (mean) Outcome
Politi et al. 2003–2007 84 65 65 ≥70 % stenosis in ≥2 N-IRAs Index complete, or staged after 2 months MACE 30 63 % relative risk reduction of MACE after immediate complete revascularisation, 60 % after staged revascularisation
PRAMI 2008–2013 231 234 na ≥50 % Immediate or no preventive PCI Composite: death from cardiac cause, MI, refractory angina 23 65 % relative risk reduction in primary endpoint due to complete revascularisation, no significant difference in death
DANAMI-3 PRIMULTI 2011–2014 313 na 314 ≥50 % in at least 1 N-IRA Staged FFR guided before discharge Composite: all-cause death, MI, ischemia-driven revascularisation 27 44 % relative risk reduction in primary endpoint due to reduction in ischaemia-driven revascularisation in complete revascularisation
CvULPRIT 2011–2013 146 97 42 ≥50 % in 2 vessels, ≥70 % in 1 vessel Immediate (recommended) or during index admission MACE (all-cause mortality, MI, heart failure, ischemia-driven revascularisation 12 55 % relative risk reduction in primary endpoint in the complete revascularisation group
COMPARE ACUTE 2011–2015 590 295 na ≥50 % + FFR ≤0.80 Immediate FFR guided Composite: all-cause mortality, MI, any revascularisation, cerebrovascular events 36 65 % relative risk reduction of primary endpoint in complete revascularisation (revascularisation driven)

RCT = randomized controlled trial; FUP = follow up; N-IRA = non-infarct related artery; MACE = major adverse cardiovascular event; PCI = percutaneous coronary intervention; MI = myocardial infarction; FFR = fractional flow reserve.