Key result
Management of non-ST elevation acute coronary syndrome requires individualized risk stratification to guide the appropriate timing and choice of invasive or conservative treatment strategies.
This review emphasizes the importance of risk stratification using established scores (e.g., GRACE, SYNTAX) to guide the timing and appropriateness of invasive strategies in NSTE-ACS.
May guide NSTE-ACS risk stratification and invasive decisions; leaves open need for updated RCTs.
The review covers issues of epidemiology, diagnostics, management strategy, and treatment outcomes in patients with non-ST elevation acute coronary syndrome. Numerous factors affecting the choice of an invasive strategy are analyzed as well as its correspondence to existing recommendations of patient's management. The stratification of risk of development of adverse coronary events, which is a part of the formation of a treatment strategy, is discussed.
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Prilutskaya et al. (2019) conducted a review in Non-ST elevation acute coronary syndrome (NSTE-ACS). Invasive and conservative management strategies was evaluated. Management of non-ST elevation acute coronary syndrome requires individualized risk stratification to guide the appropriate timing and choice of invasive or conservative treatment strategies.
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