Cochrane · systematic review · CD011986
Complete versus culprit‐only revascularisation in ST elevation myocardial infarction with multi‐vessel disease
Bravo, CA, Hirji, SA, Bhatt, DL, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Complete revascularisation compared to culprit‐only revascularisation in ST elevated myocardial infarction with multi‐vessel disease
Population: people with STEMI and MVD.
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Long‐term all‐cause mortality (≥ 1 year after the intervention) Complete revascularisation vs culprit‐only revascularisation | RR 0.8 [0.58, 1.11] | 8 studies · 2417 participants | Very low |
Long‐term cardiovascular mortality (≥ 1 year after the intervention) Complete revascularisation vs culprit‐only revascularisation | RR 0.5 [0.32, 0.79] | 6 studies · 2229 participants | Very low |
Long‐term myocardial infarction (≥ 1 year after the intervention) Complete revascularisation vs culprit‐only revascularisation | RR 0.62 [0.44, 0.89] | 6 studies · 2099 participants | Very low |
Overall adverse events (pooled short and long term) Complete revascularisation vs culprit‐only revascularisation | OR 0.84 [0.58, 1.21] | 6 studies · 4086 participants | Very low |
Short‐term all‐cause mortality (within the first 30 days after the intervention) Complete revascularisation vs culprit‐only revascularisation | RR 0.65 [0.18, 2.37] | 2 studies · 696 participants | Very low |
Long‐term revascularisation (≥ 1 year after the intervention) Complete revascularisation vs culprit‐only revascularisation | RR 0.47 [0.39, 0.57] | 9 studies · 2616 participants | Very low |