{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T09:43:21Z","timestamp":1789206201116,"version":"build-2803163510"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"24","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2019,12,17]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Data are limited regarding long\u2010term outcomes in patients with ST\u2010segment\u2013elevation myocardial infarction and multivessel disease presenting with cardiogenic shock according to revascularization strategy. We sought to compare the 3\u2010year clinical outcomes of patients with ST\u2010segment\u2010elevation myocardial infarction multivessel disease with cardiogenic shock and patients with multivessel percutaneous coronary intervention (PCI) and infarct\u2010related artery (IRA)\u2013only PCI.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Of 13\u00a0104 patients from the nationwide, multicenter, prospective KAMIR\u2010NIH (Korea Acute Myocardial Infarction Registry\u2013\u2013National Institutes of Health) registry, we selected 659 patients with ST\u2010segment\u2010elevation myocardial infarction who had concomitant non\u2010IRA stenosis and presented with cardiogenic shock. The primary outcome was all\u2010cause death. Multivessel PCI was performed in 260 patients and IRA\u2010only PCI in 399 patients. At 3\u00a0years, patients in the multivessel PCI group had a lower risk of all\u2010cause death (adjusted hazard ratio, 0.65; 95% CI, 0.45\u20130.94 [\n              <jats:italic>P<\/jats:italic>\n              =0.024]), all\u2010cause death or MI (adjusted hazard ratio, 0.59; 95% CI, 0.41\u20130.84 [\n              <jats:italic>P<\/jats:italic>\n              =0.004]), and non\u2010IRA repeat revascularization (adjusted hazard ratio, 0.23; 95% CI, 0.10\u20130.50 [\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001]) than those in the IRA\u2010only PCI group. The results were consistent after confounder adjustment by propensity score matching and inverse probability weighting analysis. Landmark analysis at 1\u00a0year demonstrated that the multivessel PCI group had a lower risk of recurrent MI and non\u2010IRA repeat revascularization beyond 1\u00a0year (log\u2010rank\n              <jats:italic>P<\/jats:italic>\n              =0.030 and\n              <jats:italic>P<\/jats:italic>\n              =0.017, respectively) than the IRA\u2010only PCI group.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">In patients with ST\u2010segment\u2010elevation myocardial infarction and cardiogenic shock, multivessel PCI was associated with a lower risk of all\u2010cause death than IRA\u2010only PCI at 3\u00a0years, suggesting potential benefit of non\u2010IRA revascularization during the index hospitalization to improve long\u2010term clinical outcomes.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.119.013870","type":"journal-article","created":{"date-parts":[[2019,12,10]],"date-time":"2019-12-10T10:00:37Z","timestamp":1575972037000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Comparison of Long\u2010Term Clinical Outcome Between Multivessel Percutaneous Coronary Intervention Versus Infarct\u2010Related Artery\u2013Only Revascularization for Patients With ST\u2010Segment\u2013Elevation Myocardial Infarction With Cardiogenic Shock"],"prefix":"10.1161","volume":"8","author":[{"given":"Joo Myung","family":"Lee","sequence":"first","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Heart Vascular Stroke Institute Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae\u2010Min","family":"Rhee","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Cardiovascular Center Seoul National University Hospital Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun Kuk","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Cardiovascular Center Chosun University Hospital University of Chosun College of Medicine Gwangju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doyeon","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Cardiovascular Center Seoul National University Hospital Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Hun","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Heart Vascular Stroke Institute Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ki Hong","family":"Choi","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Heart Vascular Stroke Institute Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihoon","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Heart Vascular Stroke Institute Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taek Kyu","family":"Park","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Heart Vascular Stroke Institute Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeong Hoon","family":"Yang","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Heart Vascular Stroke Institute Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Bin","family":"Song","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Heart Vascular Stroke Institute Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin\u2010Ho","family":"Choi","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Heart Vascular Stroke Institute Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung\u2010Hyuk","family":"Choi","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Heart Vascular Stroke Institute Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bon\u2010Kwon","family":"Koo","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Cardiovascular Center Seoul National University Hospital Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shung Chull","family":"Chae","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Kyungpook National University Hospital Daegu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myeong\u2010Chan","family":"Cho","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Chungbuk National University Hospital Cheongju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chong Jin","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Kyunghee University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ju Han","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Heart Center Chonnam National University Hospital Gwangju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyo\u2010Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Cardiovascular Center Seoul National University Hospital Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyeon\u2010Cheol","family":"Gwon","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Heart Vascular Stroke Institute Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myung Ho","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Heart Center Chonnam National University Hospital Gwangju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joo\u2010Yong","family":"Hahn","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Heart Vascular Stroke Institute Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The KAMIR 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