The European guidelines recommend revascularization within 24 hours in high-risk patients with No ST segment elevation myocardial infarction. It is unclear whether these patients would benefit from an immediate strategy. This randomized, open, and controlled study included 250 patients with suspected Non ST segment elevation myocardial infarction.
Patients were randomized to early coronary angiography or conventional therapy with coronary angiography within 72 hours. In the conventional therapy group 5% of patients had reinfarction while waiting for coronary angiography and longer hospital stay.
Conclusion
Early coronary angiography in patients with suspected Non ST segment elevation myocardial infarction may improve outcomes and reduce the length of stay.
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Carsten Stengaard
2015-05-20
Original title: Acute versus subacute angioplasty in patients with non-ST-elevation myocardial infarction – NONSTEMI Trial.