Culprit-only or multivessel PCI in cardiogenic shock myocardial infarction patients: simpler solutions are more likely to be correct than complex ones

Milena Soriano Marcolino, Antonio Luiz Ribeiro


Despite all the advances in acute myocardial infarction (AMI) treatment, cardiogenic shock (CS) is still the leading cause of mortality among AMI patients admitted to the hospital (1). Most of the deaths occur within the first 30 days, about half within the first 48 hours (2,3). Although total mortality has decreased, recent trends point to an increase in hospital mortality (4).