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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

[Early percutaneous revascularization in patients with unstable angina. Current results and comparison with

A Bethencourt1, C Fernández-Palomeque, A Gómez-Jaume

  • 1Servicio de Cardiología, Hospital Universitario Son Dureta, Palma de Mallorca. a.bethencourt@teleline.es

Revista Espanola De Cardiologia
|June 12, 1999
PubMed

Insights

For ongoing angina despite treatment, early revascularization is debated. Review suggests reconsidering invasive procedures, favoring medical management until non-invasive tests identify suitable candidates.

Area of Science:

  • Cardiology
  • Interventional Cardiology

Background:

  • Optimal medical therapy (OMT) is standard for angina.
  • Coronary angiography and revascularization are options for refractory angina.
  • The timing of invasive procedures versus conservative management is debated.

Purpose of the Study:

  • To review the benefits of modern medical therapy for angina.
  • To analyze problems associated with early coronary revascularization.
  • To assess the role of new antithrombotic agents in percutaneous coronary interventions.

Main Methods:

  • Review of data from major clinical trials comparing early invasive versus conservative strategies in unstable coronary syndromes.
  • Analysis of the impact of glycoprotein IIb/IIIa receptor blockers.

Main Results:

  • Modern medical therapy offers significant advantages.
  • Early invasive intervention may not benefit all patients.
  • New antithrombotic agents improve outcomes in percutaneous coronary interventions.

Conclusions:

  • Early invasive intervention should be reconsidered for angina.
  • Medical management should be optimized until non-invasive stratification identifies patients benefiting from revascularization.

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