Immediate non-culprit vessel percutaneous coronary intervention (PCI) in patients with acute myocardial infarction and cardiogenic shock: a swinging pendulum

Revascularization of the culprit vessel in patients with acute myocardial infarction (AMI) reduces morbidity and mortality (1,2). Approximately 50% of AMI patients also have significant stenoses in non-infarct related arteries (3). Although multivessel disease is common in patients with AMI and is associated with an increased risk of major adverse cardiovascular events, the management approach to non-infarct related arteries in AMI patients with multivessel disease has not been well established (3,4).