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In multivariable mortality analysis, multivessel disease (HR 2.59, CI95% 1.29-5.18) and TIMI flow less then 3 post-PCI (HR 2.41, CI95% 1.4-4.15) were associated with 90-day mortality. Procedural PCI complications were recorded in 51 (35%) patients, arrhythmic complications being the most common (n = 32, 63%). The incidence of complications was similar between survivors and non-survivors (31% vs. 42%, P = 0.21). CONCLUSIONS Multivessel disease is associated with worse survival in ACS-related CS. In patients undergoing PCI, arrhythmic com