What is the recommendation for multivessel primary PCI in hemodynamically stable patients with STEMI?
On the basis of the results from the CvLPRIT, Danish Study of Optimal Acute Treatment, and Patients Transferred From General Community Hospitals to Specialized PTCA Units With or Without Emergency Thrombolysis trials (17,18,24,27), the prior Class III (Harm) recommendation with regard to multi-vessel primary PCI in hemodynamically stable patients with STEMI has been upgraded and modi ed to a Class IIb recommendation to include consideration of multivessel PCI, either at the time of primary PCI or as a planned, staged procedure. The writing committee emphasizes that this change should not be interpreted as endorsing the routine performance of multivessel PCI in all patients with STEMI and multivessel disease.