FIT (Fast Infarction Treatment): Complete Revascularization During Primary Percutaneous Coronary Intervention (PCI) Can be Achieved Safely With an Improved Clinical Outcome During the Indexed Hospitalization.

Inclusion Criteria: * myocardial acute infarction * prolonged chest pain (\>20 minute) started less \<12 hours before arrive in hospital * ST segment elevation of \>1mm in \>2 contiguous leads * new left bundle branch block * diameter of the coronary suitable of angioplasty \>2mm * the patients agrees to the study protocol and provides a written consensus * two or more coronary suitable for angioplasty Exclusion Criteria: * refused written consensus * hypersensitivity or contraindication to any of the following medications: heparin bivalirudin aspirin prasugrel stainless steel * history of bleeding * cardiogenic shock (PA \< 90mmHg) * chronic total occlusion in the second lesion * TIMI Flow \< II in the culprit lesion * recent pregnancy * history of intra-cerebral major hemorrhagic stroke * an elective surgical procedure is planned that would necessitate interruption of thienopyridines during the first six months post enrollment life expectancy \<1 year