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Functional versus Culprit only Revascularization in Elderly Patients with Myocardial Infarction and Multi vessel Disease Version number 2 of the December 12th, 2019This protocol is the confidential
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01
Identify the culprit vessel by performing diagnostic coronary angiography.
02
Assess the severity of stenosis in the non-culprit vessels.
03
Consider factors such as patient's age, comorbidities, and overall clinical presentation to determine whether culprit-only or multivessel intervention is more appropriate.
04
Consult with a cardiac surgeon if there is uncertainty about the best approach for the patient.

Who needs culprit-only versus multivessel or?

01
Patients with stable coronary artery disease who have a clearly defined culprit lesion that is responsible for the majority of their symptoms may benefit from culprit-only intervention.
02
Patients with extensive coronary artery disease involving multiple vessels and high-risk features such as diabetes or left main disease may benefit from multivessel intervention to reduce the risk of future coronary events.
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Culprit-only versus multivessel is a comparison between treating only the main artery responsible for a heart attack (culprit artery) versus treating multiple blockages in different arteries (multivessel).
Medical professionals, specifically cardiologists and heart surgeons, are required to document and file the details of culprit-only versus multivessel interventions.
The form for culprit-only versus multivessel interventions should be completed by providing information on the patient, the type of procedure performed, the outcome, and any complications.
The purpose of comparing culprit-only versus multivessel interventions is to assess the effectiveness and risks associated with each treatment approach in managing coronary artery disease.
Information such as patient demographics, procedure details, post-procedure complications, and outcomes must be reported on the culprit-only versus multivessel form.
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