Prognostic impact of functionally completely revascularization guided by fractional flow reserve in patients with non ST-elevation myocardial infarction and multivessel disease

AIM To evaluate the prognotic influence of functional completely revascularization guided by fractional flow reserve (FFR) in patients with non ST-elevation myocardial infarction and multivessel disease. METHODS 95 cases of patients with non ST-elevation myocardial infarction (NSTEMI) and multivessel disease were chosen as the functional completely revascularization group. Same period reascularization patients served as the control group. Patients were followed up for 12 months, the incidence of major adverse cardiac events (MACE) and changes in left ventricular ejection fraction were compared. RESULTS Compared with the control group, the functional completely revascularization group had a lower incidence in recurrence angina, coronary heart disease hospital again and MACE (P<0.05). Both of the two groups had an increased LVEF, which was more significantly increased in the functional completely reascularization group (P<0.05). CONCLUSION Functional completely revascularization guided by FFR reduces the incidence of MACE at one year, the number of angina pectoris and coronary heart disease hospital readmission, and improves left cardiac function of patients.