DANAMI 3-PRIMULTI Substudy – Complete Revascularization Guided by FFR Improves Prognosis in STEMI Patients with Severe Nonculprit Lesions

DANAMI 3-PRIMULTI Substudy - Complete Revascularization Guided by FFR Improves Prognosis in STEMI Patients with Severe Nonculprit Lesions

Research Background In patients with ST-segment elevation myocardial infarction (STEMI), approximately 50% have multivessel disease (MVD), which is associated with a poor prognosis, especially when there are three-vessel lesions or chronic total occlusions. Although emergency PCI is the standard treatment for STEMI, there is still controversy regarding the management strategy for nonculprit lesions (complete revascularization … Read more

Subgroup Analysis of DANAMI-3-PRIMULTI: The Impact of Age on Prognosis After Complete Revascularization

Subgroup Analysis of DANAMI-3-PRIMULTI: The Impact of Age on Prognosis After Complete Revascularization

Research Background With the increasing number of elderly patients receiving primary percutaneous coronary intervention (PPCI), the management strategies for non-culprit lesions have become controversial. Although multiple studies support that complete revascularization (treating all significant stenosed vessels) can improve prognosis, the benefits for elderly patients (≥75 years) remain unclear due to their comorbidities and shorter life … Read more

DANAMI-3-PRIMULTI Substudy—Cardiac Magnetic Resonance Confirms the Impact on Cardiac Structure and Function

DANAMI-3-PRIMULTI Substudy—Cardiac Magnetic Resonance Confirms the Impact on Cardiac Structure and Function

Research Background Patients with ST-segment elevation myocardial infarction (STEMI) combined with multivessel disease (MVD) account for approximately 45% of all STEMI patients, and they have a poorer clinical prognosis. Previous studies (such as PRAMI, CvLPRIT) have shown that complete revascularization (treating all significantly narrowed vessels) can reduce major adverse cardiovascular events (MACE) compared to treating … Read more

Analysis of Lesion Characteristics in the DANAMI-3-PRIMULTI Substudy

Analysis of Lesion Characteristics in the DANAMI-3-PRIMULTI Substudy

Research Background and Objectives The DANAMI-3-PRIMULTI trial has confirmed that in patients with ST-segment elevation myocardial infarction (STEMI) and multivessel disease (MVD), fractional flow reserve (FFR)-guided complete revascularization (FFR-CRV) can significantly reduce the need for subsequent ischemia-driven revascularization (ID-RV), but it has no significant impact on mortality or reinfarction. The core questions of this substudy: … Read more

Analysis of Bleeding Events in the DANAMI-3-PRIMULTI Substudy

Analysis of Bleeding Events in the DANAMI-3-PRIMULTI Substudy

Research Background and Objectives In patients with ST-segment elevation myocardial infarction (STEMI) and multivessel disease (MVD), the strategy of complete revascularization (CRV) can reduce ischemic events, but its impact on bleeding risk remains unclear. Core Questions: – Does staged complete revascularization (FFR-guided) during hospitalization increase the risk of severe bleeding? – What is the impact … Read more

Research on Multimodality in the Field of Linguistics in China

Research on Multimodality in the Field of Linguistics in China

The research on multimodality in the field of linguistics in China has formed a research pattern centered on systemic functional linguistics since its introduction in the early 21st century, integrating multiple disciplines. The following is a comprehensive overview from the perspectives of development context, theoretical framework, core areas, research hotspots, and challenges: 1. Development Context … Read more