Why the study?
Does a routine early invasive strategy improve ischemic outcomes in elderly patients (>75 years) with unstable angina and non-ST-segment elevation MI?
Does a routine early invasive strategy improve ischemic outcomes in elderly patients (>75 years) with unstable angina and non-ST-segment elevation MI?
Routine early invasive management improves ischemic outcomes in NSTE-ACS patients >75 years old, though it is associated with a higher risk of major bleeding.
May support early invasive strategy in elderly NSTE-ACS despite bleeding risk; leaves open confirmation by randomized trials.
Despite an increased risk for major bleeding in patients older than 75 years of age, a routine early invasive strategy can significantly improve ischemic outcomes in elderly patients with unstable angina and non-ST-segment elevation MI.
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Bach et al. (2004) studied this question.