Early Invasive versus Selectively Invasive Management for Acute Coronary Syndromes
Why the study?
Does an early invasive strategy improve outcomes compared to a selectively invasive strategy in patients with acute coronary syndromes without ST-segment elevation and with an elevated cardiac troponin T level?
Population
Patients with acute coronary syndromes without ST-segment elevation and with an elevated cardiac troponin T…
Comparison
Early invasive strategy vs Selectively invasive strategy
Authors
Discussion
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Member takes
Implication
Selective invasive strategy appropriate in NSTE-ACS; extends RCT evidence against routine early intervention.
Structured PICO
Does an early invasive strategy improve outcomes compared to a selectively invasive strategy in patients with acute coronary syndromes without ST-segment elevation and with an elevated cardiac troponin T level?
P
Population
Patients with acute coronary syndromes without ST-segment elevation and with an elevated cardiac troponin T level
I
Intervention
Early invasive strategy
C
Comparator
Selectively invasive strategy (both groups received optimized medical therapy)
In patients with NSTE-ACS and elevated troponin T receiving optimized medical therapy, an early invasive strategy was not shown to be superior to a selectively invasive approach.
Cite This Study
Winter et al. (2005) studied this question.