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Invasive Treatment of Non-ST-segment Elevation Acute Coronary Syndrome: Cardiac Catheterization/Revascularization for All?: [Tratamiento invasivo del síndrome coronario agudo sin elevación del segmento ST: ¿cateterismo cardiaco/ revascularización en todos los casos?]
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för kardiovaskulär medicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Hjärt- och Medicincentrum, Kardiologiska kliniken US.ORCID-id: 0000-0002-2608-2062
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för kardiovaskulär medicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Hjärt- och Medicincentrum, Kardiologiska kliniken US.
2014 (engelsk)Inngår i: Revista Española de Cardiología, ISSN 0300-8932, E-ISSN 1579-2242, Vol. 67, nr 3, s. 218-221Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Patients admitted to hospital with symptoms and signs of non-ST-segment elevation acute coronary syndromes have different risk profiles and are in need of an individualized approach that takes into consideration not only age and sex but also comorbidities such as diabetes, renal failure, hypertension, heart failure, peripheral artery disease, earlier revascularization, etc. According to evidence-based medicine and as documented in current guidelines, there is currently evidence for early catheterization and, if feasible, revascularization in high-risk patients, especially in men. Nevertheless, because of a lack of definitive evidence, there is uncertainty about treating women in the same way. Because women are usually older and have more comorbidities, they are frailer and revascularization should be indicated with greater caution. There is no evidence that catheterization as such is worse for women than for men; however, for both men and women with low risk, a less invasive approach, such as coronary computed tomography angiography, could be considered as a first diagnostic tool. 

sted, utgiver, år, opplag, sider
Elsevier , 2014. Vol. 67, nr 3, s. 218-221
Emneord [en]
Non-ST-segment elevation acute coronary syndrome; Invasive treatment; Risk stratification
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-105577DOI: 10.1016/j.rec.2013.11.004ISI: 000331727500010Scopus ID: 2-s2.0-84896698090OAI: oai:DiVA.org:liu-105577DiVA, id: diva2:708732
Tilgjengelig fra: 2014-03-28 Laget: 2014-03-27 Sist oppdatert: 2017-12-05

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