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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?]
Linköping University, Department of Medical and Health Sciences, Division of Cardiovascular Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Cardiology in Linköping.ORCID iD: 0000-0002-2608-2062
Linköping University, Department of Medical and Health Sciences, Division of Cardiovascular Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Cardiology in Linköping.
2014 (English)In: Revista Española de Cardiología, ISSN 0300-8932, E-ISSN 1579-2242, Vol. 67, no 3, 218-221 p.Article in journal (Refereed) 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. 

Place, publisher, year, edition, pages
Elsevier , 2014. Vol. 67, no 3, 218-221 p.
Keyword [en]
Non-ST-segment elevation acute coronary syndrome; Invasive treatment; Risk stratification
National Category
Cardiac and Cardiovascular Systems
Identifiers
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: diva2:708732
Available from: 2014-03-28 Created: 2014-03-27 Last updated: 2017-12-05

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Swahn, EvaAlfredsson, Joakim

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Division of Cardiovascular MedicineFaculty of Health SciencesDepartment of Cardiology in Linköping
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