Complete revascularization and heart failure risk in acute coronary syndrome across the ejection fraction spectrum: focus on LVEF-dependent effects - Takeaways - MDSpire

Complete revascularization and heart failure risk in acute coronary syndrome across the ejection fraction spectrum: focus on LVEF-dependent effects

  • By

  • Xiaozhi Luo

  • Jiaan Nong

  • Shaowei Xu

  • Zhongyuan Meng

  • Xingshou Pan

  • May 18, 2026

  • 0 min

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  • 1

    Complete revascularization (CR) significantly reduces the risk of heart failure hospitalization or cardiovascular death in patients with LVEF 40%-50%.

  • 2

    In the study, 4.6% of patients in the CR group reached the primary endpoint compared to 7.8% in the incomplete revascularization (ICR) group.

  • 3

    The benefit of CR was most pronounced in patients with non-ST-segment elevation ACS (NSTE–ACS) and LVEF <50%.

  • 4

    As LVEF increased, the efficacy of CR in reducing heart failure risk diminished, indicating a potential LVEF-dependent effect.

  • 5

    The observational nature of the study suggests caution in interpreting the results, highlighting the need for further research.

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