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Our mission is to reduce the burden of cardiovascular disease through percutaneous cardiovascular interventions.
Improving the quality of life and reducing sudden cardiac death by limiting the impact of heart rhythm disturbances.
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In NSTEACS, is an early invasive strategy (within 24 hours) useful for all the patients and not only for those at high risk ?Yes 47%No 53 %
The recent NSTEMI guidelines (Hamm et al., Eur Heart J 2011) ask for a quick diagnostic angiography in all patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS). This is a clear modification compared to the myocardial revascularization guidelines (Wijns et al. Eur Heart J 2010) and the PCI-guidelines published before (Silber et al. Eur Heart J 2005), which asked for 48 hours and 72 hours, respectively. Particularly, it is essential to stay within 24 hours of diagnosis in patients with high-risk NSTE-AC (ST-segment deviation, rhythm disturbances, ongoing symptoms, increase in troponin, hemodynamical deterioriation). If the organization of the diagnostic angiogram +/- percutaneous intervention If necessary) is not possible within 24 hours in moderate-to-lower risk patients with NSTE-ACS due to the lack of open catheter laboratories, 48 hours might be acceptable but should not be the primary goal
This findings of the poll are surprising because the randomised trial evidence and the guidelines specifically support early intervention in higher- risk patients
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