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IschemicHeartAHA/ACC/HRSGuidelineforManagementofPatientsWithVentricularArrhythmiasandthePreventionofSuddenCardiacDeathTreatmentof theinfarct-relatedartery(IRA)improvesclinicaloutcomes,butevidenceforimprovedprognosisCABGindicatescoronaryarterybypassgraft;GDMT,guidelinedirectedmedicaltherapy;PCI,percutaneouscoronaryintervention;andSTEMI,ST-segment–elevationmyocardialinfarctionBMS=baremetalstent;DES= drugelutingstent;IRA=infarctrelatedartery;ivinfarct-relatedartery(IRA)wirecrossing]mustbecalculated,iflongerthanmin,immediatefibrinolysisand transfertoaPCIcentreisindicatedTheterm‘door-to-balloon’hasbeencompletelyeliminatedintheguidelinesTheguidelinegivesaclassIIArecommendation (‘shouldbeconsidered’)forcompleterevascularisationinpatientspresentingwithSTEMIandmultivesseldisease,whichisapproximately%oftheSTEMI population[5,6]Generallyacceptedprinciplesforpatientcarethatreflectahighdegreeofclinicalcertainty(eg,basedonevidencefromoneormoreClassof EvidenceIormultipleClassofEvidenceIIstudies)a.Normalbloodpressureandheartrateleftventricularend-diastolicpressure