8. Revascularisation strategy in ACS

Early versus standard care invasive strategy for non-STEMI patients

VERDICT
Objective
to investigate the clinical efficacy of a strategy of very early angiography and PCI within 12 hours compared to standard invasive therapy within 48 to 72 hours
Study
prospectively 2 centre randomised trial
Population
patients with Non-STEMI ACS
Endpoints
combined all-cause death, re MI, hospital admission for refractory ischemia or hospital admission for heart failure
Conclusion
a strategy of very early invasive coronary angiography does not improve longterm clinical outcome compared to a standard strategy of invasive coronary angiography
Kofoed et al. Circulation. 2018;138:2741-50
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