Skip to main content
Journal cover image

Noninvasive, medical management for non-ST-elevation acute coronary syndromes.

Publication ,  Journal Article
Chan, MY; Becker, RC; Harrington, RA; Peterson, ED; Armstrong, PW; White, H; Fox, KAA; Ohman, EM; Roe, MT
Published in: Am Heart J
March 2008

Despite emphasis on the use of invasive management strategies for patients with non-ST-elevation acute coronary syndromes (NSTE ACS) in recent practice guidelines, 27% to 56% of NSTE ACS patients do not undergo diagnostic angiography, and a further 45% to 78% do not undergo revascularization procedures during the initial hospitalization. These medically managed patients (also termed noninvasive management) have a greater frequency of medical comorbidities and high-risk clinical characteristics and are less likely to receive guideline-recommended medications, compared with patients who undergo revascularization procedures. The rates of short and long-term adverse outcomes are also substantially higher in medically managed NSTE ACS patients, but more widespread implementation of contemporary medical therapies in this population is limited by exclusion of medically managed patients from many randomized clinical trials.

Duke Scholars

Published In

Am Heart J

DOI

EISSN

1097-6744

Publication Date

March 2008

Volume

155

Issue

3

Start / End Page

397 / 407

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Thrombolytic Therapy
  • Humans
  • Electrocardiography
  • Coronary Disease
  • Coronary Angiography
  • Cardiovascular System & Hematology
  • Cardiac Catheterization
  • Acute Disease
  • 3201 Cardiovascular medicine and haematology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Chan, M. Y., Becker, R. C., Harrington, R. A., Peterson, E. D., Armstrong, P. W., White, H., … Roe, M. T. (2008). Noninvasive, medical management for non-ST-elevation acute coronary syndromes. Am Heart J, 155(3), 397–407. https://doi.org/10.1016/j.ahj.2007.11.014
Chan, Mark Y., Richard C. Becker, Robert A. Harrington, Eric D. Peterson, Paul W. Armstrong, Harvey White, Keith A. A. Fox, E Magnus Ohman, and Matthew T. Roe. “Noninvasive, medical management for non-ST-elevation acute coronary syndromes.Am Heart J 155, no. 3 (March 2008): 397–407. https://doi.org/10.1016/j.ahj.2007.11.014.
Chan MY, Becker RC, Harrington RA, Peterson ED, Armstrong PW, White H, et al. Noninvasive, medical management for non-ST-elevation acute coronary syndromes. Am Heart J. 2008 Mar;155(3):397–407.
Chan, Mark Y., et al. “Noninvasive, medical management for non-ST-elevation acute coronary syndromes.Am Heart J, vol. 155, no. 3, Mar. 2008, pp. 397–407. Pubmed, doi:10.1016/j.ahj.2007.11.014.
Chan MY, Becker RC, Harrington RA, Peterson ED, Armstrong PW, White H, Fox KAA, Ohman EM, Roe MT. Noninvasive, medical management for non-ST-elevation acute coronary syndromes. Am Heart J. 2008 Mar;155(3):397–407.
Journal cover image

Published In

Am Heart J

DOI

EISSN

1097-6744

Publication Date

March 2008

Volume

155

Issue

3

Start / End Page

397 / 407

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Thrombolytic Therapy
  • Humans
  • Electrocardiography
  • Coronary Disease
  • Coronary Angiography
  • Cardiovascular System & Hematology
  • Cardiac Catheterization
  • Acute Disease
  • 3201 Cardiovascular medicine and haematology