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Revascularization Strategies for Non-ST-Elevation Myocardial Infarction

  • Bennet George
  • Naoki Misumida
  • Khaled M. ZiadaEmail author
Management of Acute Coronary Syndromes (H Jneid, Section Editor)
  • 42 Downloads
Part of the following topical collections:
  1. Topical Collection on Management of Acute Coronary Syndromes

Abstract

Purpose of Review

Non-ST-elevation myocardial infarction (NSTEMI) is an urgent medical condition that requires prompt application of simultaneous pharmacologic and non-pharmacologic therapies. The variation in patient clinical characteristics coupled with the multitude of treatment modalities makes optimal and timely management challenging. This review summarizes risk stratification of patients, the role and timing of revascularization, and highlights important considerations in the revascularization approach with attention to individual patient characteristics.

Recent Findings

The early invasive management of NSTEMI has fostered a reduction in future ischemic events. Risk calculators are helpful in determining which patients should receive early invasive management. As many patients have multivessel disease, identifying the true culprit lesion can be challenging. Special attention should be given to those at the highest risk, such as diabetics, patients with renal failure, and those with left main disease.

Summary

In patients with acute coronary syndrome, the decision and mode of revascularization should carefully integrate the patient’s clinical characteristics as well as the complexity of the coronary anatomy.

Keywords

Non-ST-elevation myocardial infarction Revascularization Review 

Notes

Compliance with Ethical Standards

Conflict of Interest

Bennet George, Naoki Misumida, and Khaled M. Ziada declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This review complies with all ethical standards for clinical research on human subjects. This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Bennet George
    • 1
  • Naoki Misumida
    • 1
  • Khaled M. Ziada
    • 1
    Email author
  1. 1.Division of Cardiovascular Medicine, Gill Heart and Vascular InstituteUniversity of KentuckyLexingtonUSA

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