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Justification for complete revascularisation at the time of primary angioplasty? Not yet!
  1. Nick E J West,
  2. Francis R Joshi,
  3. Liam McCormick
  1. Papworth Hospital, Cambridge, UK
  1. Correspondence to Nick West, Department of Interventional Cardiology, Papworth Hospital, Cambridge CB23 3RE, UK; nejwest{at}hotmail.com

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To the Editor We read with great interest the article by Politi et al1 on revascularisation of patients presenting with ST-elevation myocardial infarction (STEMI) in the context of multivessel coronary disease and the accompanying editorial. While the data are interesting and hypothesis-generating, they fall short of demanding any change in current practice owing to a potential flaw in the study design and in the findings as presented that make it difficult to agree fully with the authors' conclusions.

First, no explanation is given for the major adverse cardiac event (MACE) detriment seen in the culprit-only revascularisation (COR) group; we would agree with previous comments regarding the reasons for repeat rehospitalisation and …

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    Luigi Politi Giuseppe Massimo Sangiorgi Maria Grazia Modena