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New Paradigm of Complete Revascularization in Acute Coronary Syndrome with Multivessel Coronary Artery Disease: Is it Reasonable in Clinical Practice?

Heart Science Journal · Vol. 2 No. 3 (2021) · hlm. 5–11

DOI
10.21776/ub.hsj.2021.002.03.2
ISSN
2721-9984, 2721-9976
Terbit
2021-07-30
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Coronary artery disease is the leading cause of illness and death in older adults. Around 40% to 50% of patients with ST-segment elevation myocardial infarction (STEMI) have multiple coronary artery disease. Multiple vessel coronary disease has been shown to improve cardiac outcomes and survival in patients who have undergone complete revascularization (CR) versus patients who have undergone only incomplete revascularization (ICR). When coronary angiography and PCI of the source of the infarction are performed on patients with STEMI, the risk of adverse cardiac death or myocardial infarction is significantly reduced. Additional research is needed to determine the efficacy of PCI of non-critical lesions. However, following procedures such as CABG or PCI, these procedures may be impossible to perform due to a variety of personal, anatomical, technical, and logistical barriers. In this review, we discussed about benefit of complete revascularization in patient acute coronary syndrome (ACS) with multivessel disease and which patient can be performed aggressive revascularization to achieved CR in clinical practice.Keywords: complete revascularization, acute coronary syndrome, percutaneous coronary intervention

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  • University of Brawijaya
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Rekan penulisOrganisasiArtikel bersama
Anna Fuji RahimahUniversity of Brawijaya37
Ardian RizalUniversity of Brawijaya35
Budi SatrijoUniversity of Brawijaya31
Sasmojo WiditoUniversity of Brawijaya30
Setyasih AnjarwaniUniversity of Brawijaya29
Indra PrasetyaUniversity of Brawijaya28
Djanggan SargowoUniversity of Brawijaya27
Heny MartiniUniversity of Brawijaya26
Yoga WaranugrahaUniversity of Brawijaya15
Tri AstiawatiUniversity of Brawijaya7
Muhammad Rizki FadlanUniversity of Brawijaya7
Dadang HendrawanUniversity of Brawijaya6
Seprian WidasmaraUniversity of Brawijaya6
Wella KarolinaUniversity of Brawijaya6
Ira Vori NugrohoUniversity of Brawijaya6
Putri Annisa KamilaUniversity of Brawijaya5
Valerinna YogibuanaAfiliasi tidak diketahui5
Anna Fuji RahimahAfiliasi tidak diketahui5
Ratna PancasariUniversity of Brawijaya5
Ayu Asri Devi AdityawatiUniversity of Brawijaya5
Oktafin Srywati PamunaUniversity of Brawijaya5
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya5
Fandy HazzyUniversity of Brawijaya4
Sawitri SatwikajatiUniversity of Brawijaya4
Fahmy RusnantaUniversity of Brawijaya4
Imelda KrisnasariUniversity of Brawijaya4
Evit RuspionoAfiliasi tidak diketahui4
Zainal FathurohimUniversity of Brawijaya4
Nikhen NoverikeUniversity of Brawijaya4
Saskia Dyah HandariUniversity of Brawijaya3
Hayla Iqda MillisaniUniversity of Brawijaya3
Oktivani Adelathifa RahmaUniversity of Brawijaya3
Teguh AryanugrahaUniversity of Brawijaya3
Imam Mi'raj SuprayogaUniversity of Brawijaya3
Dea Arie KurniawanUniversity of Brawijaya3
Zhafran VeliawanUniversity of Brawijaya3

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">New Paradigm of Complete Revascularization in Acute Coronary Syndrome with Multivessel Coronary Artery Disease: Is it Reasonable in Clinical Practice?</dc:title>
	<dc:creator xml:lang="en">Wikananda, Adhika Prastya</dc:creator>
	<dc:creator xml:lang="en">Rohman, Mohammad Saifur</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:creator xml:lang="en">Tjahjono, Cholid Tri</dc:creator>
	<dc:subject xml:lang="en">complete revascularization</dc:subject>
	<dc:subject xml:lang="en">acute coronary syndrome</dc:subject>
	<dc:subject xml:lang="en">percutaneous coronary intervention</dc:subject>
	<dc:description xml:lang="en">Coronary artery disease is the leading cause of illness and death in older adults. Around 40% to 50% of patients with ST-segment elevation myocardial infarction (STEMI) have multiple coronary artery disease. Multiple vessel coronary disease has been shown to improve cardiac outcomes and survival in patients who have undergone complete revascularization (CR) versus patients who have undergone only incomplete revascularization (ICR). When coronary angiography and PCI of the source of the infarction are performed on patients with STEMI, the risk of adverse cardiac death or myocardial infarction is significantly reduced. Additional research is needed to determine the efficacy of PCI of non-critical lesions. However, following procedures such as CABG or PCI, these procedures may be impossible to perform due to a variety of personal, anatomical, technical, and logistical barriers. In this review, we discussed about benefit of complete revascularization in patient acute coronary syndrome (ACS) with multivessel disease and which patient can be performed aggressive revascularization to achieved CR in clinical practice.Keywords: complete revascularization, acute coronary syndrome, percutaneous coronary intervention</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2021-07-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/198</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2021.002.03.2</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 2 No. 3 (2021): The Science and Art of Myocardial Revascularization; 5-11</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2021.002.03</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/198/282</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2021 Adhika Prastya Wikananda, Mohammad Saifur Rohman, Novi Kurnianingsih, Cholid Tri Tjahjono</dc:rights>
</oai_dc:dc>