الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
PCI is currently the treatment of choice in patients with
acute STEMI. CAD is a diffuse process and patients presenting
with a coronary syndrome in 20- 40% of cases have multiple
significant coronary lesions, which confer a substantially
increased risk of cardiovascular morbidity and mortality and so
treatment strategies vary widely from an aggressive approach
which treats all significant lesions in the acute phase of PPCI to
a conservative approach with PPCI of only the IRA and
subsequent medical therapy unless recurrent ischaemia occurs.
Between these two extremes are other alternatives; mainly that
of staged procedures with the IRA treated acutely and other
lesions treated later during the hospital stay or within the first
month following discharge.
The aim of our study was to compare between two
different strategies during primary PCI in patients with acute
STEMI and multi vessel CAD with left ventricular systolic
dysfunction: treatment of infarct artery only (culprit only
revascularization) and simultaneous treatment of IRA and non
IRA (total revascularization).
Our study included fifty patients with recent history of acute
ST- segment elevation myocardial infarction with left
ventricularsystolic dysfunction and had MVD during diagnostic
coronary angiography whom underwent primary percutaneous
coronary intervention and were divided in to two.