Optimal Timing of Coronary Angiography and Potential Intervention in Non-ST Elevation Acute Coronary Syndromes

Authors

  • Demosthenes G Katritsis Department of Cardiology, Euroclinic Hospital, Athens, Greece

DOI:

https://doi.org/10.2015/hc.v5i1%20Sup.359

Abstract

An invasive approach is currently considered superior to medical
management for the treatment of patients with non-ST elevation acute coronary syndromes (ACS) (NSTE-ACS). However, the optimal timing of coronary angiography and subsequent intervention, if indicated, i.e. immediately after admission or after pre-treatment with optimal medical therapy including potent antiplatelet agents, has not been settled. Thrombotic material in patients with unstable angina may increase
the risk of immediate coronary intervention and there is concern that adverse events such as myocardial infarction may be increased with routine early intervention. Thus, delayed catheterization to allow plaque passivation by pre-treatment with optimal antithrombotic medication has been proposed, particularly since the effectiveness of invasive strategies has been enhanced by the widespread use of glycoprotein IIb/IIIa inhibitors... (excerpt)

Author Biography

Demosthenes G Katritsis, Department of Cardiology, Euroclinic Hospital, Athens, Greece

Specialty: Cardiology

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Issue

Vol. 5 No. 1 Sup (2010)

Section

Athens Cardiology Update 2010

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