Copyright © 2004 by the European Society of Cardiology.
Editorial
Revascularisation for everyone?
TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts USA
* Correspondence to: Christopher, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA. Tel.: +1-617-278-0146; fax: +1-617-734-7329
cpcannon@partners.org
This editorial refers to "Association of revascularisation with low mortality in non-ST elevation acute coronary syndrome, a report from GUSTO IV-ACS"1 by J.P. Ottervanger et al. on page 1494
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The approach to the treatment of patients with acute coronary syndrome (ACS) has become much more aggressive over the past several years. With regard to the optimal use of coronary angiography and revascularisation for patients with ACS, it was only a decade ago that the first randomised trial of an invasive vs. a conservative strategy for patients with patients with unstable angina (UA) and non-ST elevation myocardial infarction (NSTEMI) was published.1 The Thrombolysis and Myocardial Ischaemia (TIMI) IIIB trial hypothesised that early angiography and revascularisation would be beneficial in preventing subsequent cardiac events. Overall the study found only a weak trend for prevention of death or myocardial infarction (MI), however there were significant reductions in recurrent angina requiring re-hospitalisation as well as reductions
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Related articles in EHJ:
- Association of revascularisation with low mortality in non-ST elevation acute coronary syndrome, a report from GUSTO IV-ACS
- J.P. Ottervanger, P. Armstrong, E.S. Barnathan, E. Boersma, J.S. Cooper, E.M. Ohman, S. James, L. Wallentin, M.L. Simoons, and For the GUSTO IV-ACS Investigators
EHJ 2004 25: 1494-1501.[Abstract] [Full Text]
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