Info

The Big Heart Disease Lie

Natural Treatment to Reverse Cardiovascular Disease

Get Instant Access

(n = 1114)

(n = 1106)

Combined endpointa

15.9%

19.4%

Death or reinfarction

7.3%

9.5%

Reinfarction

4.8%

6.9%

TIMI, Thrombolysis in Myocardial Infarction; %, percent of patients. aDeath, reinfarction, or hospitalization for unstable angina p < 0.05, p = 0.029, p < 0.025 vs early invasive approach.

TIMI, Thrombolysis in Myocardial Infarction; %, percent of patients. aDeath, reinfarction, or hospitalization for unstable angina p < 0.05, p = 0.029, p < 0.025 vs early invasive approach.

These new studies together indicate that patients with NSTEMI or other ACS associated with ischemic ECG changes and/or elevated troponin should be treated with an early invasive strategy within the first 48 h of hospital admission. The findings of these trials are corroborated by a recent report from the Mayo clinic, which found in a retrospective population-based study that early coronary angiography in patients with ACS was independently associated with a reduction in all-cause mortality, particularly in intermediate- and high-risk patients (40).

An economic analysis of the TACTICS study was recently presented. TACTICS demonstrated that, while the initial in-hospital costs were higher with the invasive strategy, the costs incurred in the conservative arm were higher during the 6 mo of follow-up, largely because of increased rehospitalizations (41). The total 6-mo cost for patients in the aggressive arm was essentially the same as for those in the conservative arm.

Was this article helpful?

0 0
Your Heart and Nutrition

Your Heart and Nutrition

Prevention is better than a cure. Learn how to cherish your heart by taking the necessary means to keep it pumping healthily and steadily through your life.

Get My Free Ebook


Post a comment