Key result
Routine early invasive and selectively invasive strategies for managing acute coronary syndromes without ST-segment elevation have been evaluated in several randomized clinical trials.
Why the study?
Does a routine early invasive strategy improve short- and long-term clinical outcomes compared to a selectively invasive strategy in patients with acute coronary syndromes without ST-segment elevation?
Does a routine early invasive strategy improve short- and long-term clinical outcomes compared to a selectively invasive strategy in patients with acute coronary syndromes without ST-segment elevation?
Answers are grounded in this paper and cite their sources.
This review discusses the evidence comparing routine early invasive versus selectively invasive strategies for the management of acute coronary syndromes without ST-segment elevation.
During the past 15 years, there have been important advances in both percutaneous coronary intervention (PCI) and the pharmacotherapy of acute coronary syndromes without ST-segment elevation. Several carefully designed, randomized clinical trials have evaluated prospectively two contrasting strategies for managing these syndromes (a routine early invasive strategy and a selectively invasive strategy) and their effect on short- and long-term clinical outcomes. With the early invasive strategy, all patients undergo early coronary angiography, followed by PCI if the coronary anatomy permits. With the selectively invasive strategy, angiography and PCI are reserved for those patients who have inducible ischemia on noninvasive testing . . .
No takes yet. Share an insight, caveat, or question.
William E. Boden (2005) conducted a review in Acute coronary syndromes without ST-segment elevation. Routine early invasive strategy vs. Selectively invasive strategy was evaluated. Routine early invasive and selectively invasive strategies for managing acute coronary syndromes without ST-segment elevation have been evaluated in several randomized clinical trials.
Synapse has enriched 10 related papers. Consider them for comparative context: