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Early Angioplasty not effective

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Early Angiography Doesn’t Beat Conservative Approach for ACS – in Cardiovascular, Acute Coronary Syndrome

An early invasive strategy for managing patients with non-ST-segment elevation acute coronary syndrome was no better in the long term at preventing death or MI than a more conservative approach, researchers found.

Nor was there a significant benefit at five years from coronary angiography within 48 hours with revascularization when appropriate when the groups were stratified by risk, Robbert J. de Winter, MD, of the University of Amsterdam in the Netherlands, and colleagues reported online in the Journal of the American College of Cardiology.

The findings are consistent with earlier data reported from their Invasive versus Conservative Treatment in Unstable coronary Syndromes (ICTUS) trial, which showed no benefits of early invasive management after one and three years of follow-up.

“The present analysis confirms and extends our previous reports, as we could not demonstrate that in patients presenting with NSTE-ACS and an elevated troponin T, an early invasive strategy was superior to a selective invasive strategy in reducing five-year death or MI,” the researchers wrote.

Medpagetoday: December 31, 2009

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Written by heartcurrents

January 2, 2010 at 2:13 am

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