Loading...
These researchers synthesized data from seven randomized trials of unstable angina/non–ST-segment–elevation MI (UA/NSTEMI) in which a routine invasive strategy (referral for angiography and, when appropriate, revascularization) was compared with a selective invasive strategy (initial medical treatment and revascularization only for recurrent symptoms or evidence of inducible ischemia). The trials involved 9212 patients (mean age, 62; 69% men; 19% with diabetes) and had a mean follow-up of 17 months.
Revascularization was performed in 58% of the routine-intervention group and 24% of the selective-intervention group during the initial hospitalization and in 64% and 42%, respectively, by the end of follow-up. Compared with the selective-invasiv…