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CULPRIT-SHOCK study
Souza Júnior, Jorge Mangabeira de; Kulchetscki, Rodrigo Melo; Linhares Filho, Jaime Paula Pessoa; Lima, Eduardo Gomes; Serrano Junior, Carlos Vicente.
  • Souza Júnior, Jorge Mangabeira de; University of São Paulo. Faculty of Medicine. São Paulo. BR
  • Kulchetscki, Rodrigo Melo; University of São Paulo. Faculty of Medicine. São Paulo. BR
  • Linhares Filho, Jaime Paula Pessoa; University of São Paulo. Heart Institute. Department of Atherosclerosis. São Paulo. BR
  • Lima, Eduardo Gomes; University of São Paulo. Heart Institute. Department of Atherosclerosis. São Paulo. BR
  • Serrano Junior, Carlos Vicente; University of São Paulo. Heart Institute. Department of Atherosclerosis. São Paulo. BR
Rev. Assoc. Med. Bras. (1992) ; 64(9): 783-786, Sept. 2018. graf
Article in English | LILACS | ID: biblio-976863
ABSTRACT
SUMMARY The treatment of patients with ST-segment elevation myocardial infarction concomitant with the presence of multivessel disease has been studied in several recent studies with the purpose of defining the need, as well as the best moment to approach residual lesions. However, such studies included only stable patients. The best therapeutic approach to cardiogenic shock secondary to acute coronary syndrome, however, remains controversial, but there are recommendations from specialists for revascularization that include non-event related injuries. Recently published, the CULPRIT-SHOCK study showed benefit of the initial approach only of the injury blamed for the acute event, in view of the multivessel percutaneous intervention, in the context of cardiogenic shock. In this perspective, the authors discuss the work in question, regarding methodological questions, limitations and clinical applicability.
RESUMO
RESUMO O tratamento de pacientes com infarto do miocárdio com elevação do segmento ST concomitante à presença de doença multiarterial tem sido estudado em vários estudos recentes com o objetivo de definir a necessidade, bem como o melhor momento, de abordagem das lesões residuais. No entanto, tais estudos incluíam apenas pacientes estáveis. A melhor abordagem terapêutica do choque cardiogênico secundário à síndrome coronariana aguda, no entanto, ainda permanece controversa, havendo porém recomendação de especialistas para uma revascularização que inclua as lesões não relacionadas ao evento. Publicado recentemente, o estudo CULPRIT-SHOCK mostrou benefício da abordagem inicial apenas da lesão culpada pelo evento agudo, perante a intervenção percutânea multiarterial, no contexto do choque cardiogênico. No presente ponto de vista, os autores discutem o trabalho em questão, no que concerne a questões metodológicas, limitações e aplicabilidade clínica.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Shock, Cardiogenic / Coronary Artery Disease / Randomized Controlled Trials as Topic / Acute Coronary Syndrome / Percutaneous Coronary Intervention / ST Elevation Myocardial Infarction Type of study: Controlled clinical trial / Etiology study / Practice guideline Limits: Humans Country/Region as subject: Europa Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: University of São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Shock, Cardiogenic / Coronary Artery Disease / Randomized Controlled Trials as Topic / Acute Coronary Syndrome / Percutaneous Coronary Intervention / ST Elevation Myocardial Infarction Type of study: Controlled clinical trial / Etiology study / Practice guideline Limits: Humans Country/Region as subject: Europa Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: University of São Paulo/BR