Integrating the Results of the CULPRIT-SHOCK Trial in the 2017 ESC ST-Elevation Myocardial Infarction Guidelines. The following are key points to remember from this European Society of Cardiology (ESC) task force viewpoint about integrating the results of the CULPRIT-SHOCK trial in the 2017 ESC ST-elevation myocardial infarction (STEMI) guideline: 1-The recent 2017 ESC guidelines for the management of acute MI in patients presenting with STEMI favored complete revascularization during the index primary percutaneous coronary intervention (PCI), for the management of patients with cardiogenic shock complicating STEMI and with severe coronary stenosis apart from the infarct-related artery (IRA), allocating a class of recommendation IIa with Level of Evidence C.
2-The evidence the guideline task force used to recommend non-IRA PCI during the index procedure in patients with STEMI and…
