Key result
Routine invasive strategy reduced mortality to 4.9% compared to 6.5% with a selective strategy (RR 0.75) in patients with non-ST-segment elevation acute coronary syndromes.
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This review summarizes current guidelines and technical approaches for the diagnosis, risk stratification, and interventional management of NSTE-ACS.
This article reviews current approaches to diagnosis and determination of the individual risk of patients with acute coronary syndrome without ST-segment elevation. Guidelines for determining the choice of treatment strategy and the time slots for its implementation are discussed. We describe the technical features of the implementation of interventional treatment in this group of patients; the choice of methods of myocardial revascularization is discussed.
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Av et al. (2015) conducted a review in Acute coronary syndrome without ST-segment elevation. Routine invasive strategy vs. Selective invasive strategy was evaluated. Routine invasive strategy reduced mortality to 4.9% compared to 6.5% with a selective strategy (RR 0.75) in patients with non-ST-segment elevation acute coronary syndromes.
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