8. Revascularisation strategy in ACS

Optimal timing of invasive intervention in NSTE-ACS

EARLY
Objective
to compare a delayed and very early invasive strategy in patients with non-ST- segment elevation in ACS without pre-treatment
Study
prospective, open-label, randomised trial
Population
patients with intermediate high-risk NSTE-ACS intended for invasive approach. Delayed strategy: coronary angiography 12 to 72 h after randomisation. Very early strategy: coronary angiography within 2 h.
Endpoints
composite of cardiovascular death and recurrent ischaemic events at 1 month
Conclusion
a very early invasive strategy was associated with significant less events compared to a delayed strategy in patients with non ST-segment elevation ACS
Lemesle et al. J Am Coll Cardiol Intv. 2020;13:907-17
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The Official Journal of EuroPCR and the European Association of Percutaneous Cardiovascular Interventions (EAPCI)

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2023 Journal Citation Reports®
Science Edition (Clarivate Analytics, 2024)
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