Complete Revascularization in Older Patients with Myocardial Infarction

Complete Revascularization in Older Patients with MI Older adults with acute MI are a growing population with unique treatment challenges. Shamir Mehta comments on the findings of the FIRE trial comparing complete revascularization with culprit-lesion-only PCI in adults >= 75 years of age. Older patients with acute myocardial infarction are a rapidly growing population that presents unique treatment challenges for the clinician.(1) Such patients usually have more coexisting illnesses and are more likely to have frailty issues than their younger counterparts. They also present more often with high-risk features such as heart failure and shock, along with multivessel and complex coronary artery disease, and they may have more complications from invasive treatment. Despite these factors, early reperfusion of the culprit vessel with primary percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI) and an early invasive strategy in patients with . . .