This activity was planned with a goal to advance your performance by updating your competence in the appropriateness of immediate revascularization of nonculprit lesions in the setting of STEMI/ACS. This case was created in response to the ACC/AATS/AHA/SE/ASNC/SCAI/SCCT/STS 2016 Appropriate Use Criteria for Coronary Revascularization in Patients With Acute Coronary Syndromes.

Accreditation Statement

Physicians
The American College of Cardiology Foundation (ACCF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The ACCF designates this enduring material for a maximum of up to .25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

While offering CME credits noted above, this program is not intended to provide extensive training or certification in the field.

Nurses
The American College of Cardiology Foundation (ACCF) is accredited as a provider of continuing nursing education by The American Nurses Credentialing Center's Commission on Accreditation.

The ACCF designates this educational activity for a maximum of .25 continuing education hours.

While offering the CNE credits noted above, the course is not intended to provide extensive training or certification in the field.

MOC
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to .25 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Target Audience

This activity is intended for adult cardiovascular physicians and registered nurses.

Important Dates:

Date of Release: July 16, 2018
Term of Approval/Date of CME/CE Expiration: July 16, 2021

Learner Objectives
Upon completion of this program, you should be able to:

• Identify the most recent, appropriate indications for immediate, multivessel percutaneous coronary intervention (PCI) for nonculprit lesions in the setting of ST-segment elevation myocardial infarction/acute coronary syndrome (STEMI/ACS).
• Demonstrate understanding of lesion, scenario characteristics consistent with guideline-approved immediate intervention.
• Formulate patient-specific treatment plans consistent with guideline recommendations and appropriate use criteria.

Method of Participation and CME/CNE Certificate
Requesting AMA PRA Category 1 CME Credit™ and continuing education credit for this activity

To request credit, you must:

• Read all text and view all tables and/or figures in the case for which you wish to receive credit.
• Answer the questions in each case for which you wish to claim credit. After you have answered all the questions, click on the Exam Summary button. A Claim Credit button will appear on this page if you have achieved a passing score of 70% or better. If you did not achieve a passing score, please click the Reset Scores link and retake the exam.
• Click the Claim Credit button and answer the evaluation questions in the pop-up window.
• Enter the total amount of time you actually spent in the activity in the box provided. Please note that you may only claim once for each module in this activity. Click Submit.
• You will receive a message that your request has been submitted and a link to view your certificate. You may view and download the certificate when you receive the message, you may also view it at any time in the My Transcript section of My ACC.

This CME/CNE-certified activity may contain links to other educational resources such as clinical trial summaries, journal articles, guidelines, etc., that may not be CME/CNE-certified. Please note that clicking on the links provided to view these resources will open new windows, which are outside of this CME/CNE-certified activity.

Authors:
Samuel A. Hayes, MD

Ernest L. Mazzaferri Jr., MD, FACC

Peer Reviewers:
Valerian L. Fernandes, MBBS, FACC

Shawn A. Gregory Sr., MD, FACC

Brent C. Lampert, DO, FACC
M. Dominique Ashen, PhD, CRNP
Jennifer Host, CNP

Nurse Planner:
Kimberly V. Cheramie, MSN

• Identify the most recent, appropriate indications for immediate, multivessel percutaneous coronary intervention (PCI) for nonculprint lesions in the setting of ST-segment elevation myocardial infarction/acute coronary syndrome (STEMI/ACS).
• Demonstrate understanding of lesion, scenario characteristics consistent with guideline-approved immediate intervention.
• Formulate patient-specific treatment plans consistent with guideline recommendations and appropriate use criteria.