Impact of Time to Coronary Angiography on Survival for NSTEMI

Launched by UNIVERSITY OF LEEDS · Feb 25, 2016

Keywords

ClinConnect Summary

The use of an invasive strategy for the management of NSTEMI according to estimated risk of 6 month mortality is recommended by international guidelines. NSTEMI appropriate for coronary angiography (and percutaneous intervention) have better outcomes compare with NSTEMI who are medically managed. Whilst the national and international guidelines recommend that the timing of (in-hospital) coronary angiography (\<24, 24-72, 72-96 and \<96 hours) is based upon estimated clinical risk (using the GRACE risk score) there is scientific and clinical uncertainty as to the incremental benefit that mor...

Gender

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Eligibility criteria

• Inclusion Criteria:
• • The target population will be all patients aged 18 to 100 years recorded within MINAP from 2004 to 2013 who have been hospitalised with NSTEMI and received coronary angiography.
• Exclusion Criteria:
• • Age below 18 or above 100 or age missing
• • Diagnosis not NSTEMI
• • Patients who did not receive coronary angiography - as this is the investigators explanatory variable