Does an intervention-guided strategy improve survival or reduce ischemic events compared to optimal medical therapy alone in very elderly NSTEMI patients?
In very elderly NSTEMI patients, an early intervention strategy reduces reinfarction and unplanned revascularization but does not improve survival compared to optimal medical therapy alone, though the trial was underpowered.
An intervention-guided strategy was not superior to OMT alone to treat very elderly NSTEMI patients. The trial was underpowered to demonstrate this definitively. Early intervention resulted in fewer cases of reinfarction and unplanned revascularisation but did not improve survival.
Belder et al. (Sat,) studied this question.