Immediate, mediate and late invasive strategy in non-ST segment elevation acute coronary syndrome

• Main Authors: Liliete Caraballoso García, Victor J. Caraballoso García, Idanis Orea Cordero, Dayma Solís de la Paz
• Format: Article
• Language: English
• Published: Cardiocentro Ernesto Che Guevara 2018-07-01
• Series: CorSalud
• Online Access: http://www.revcorsalud.sld.cu/index.php/cors/article/view/354

Introduction: Non-ST segment elevation acute coronary syndrome (NSTE-ACS) is responsible for 2 to 2.5 million deaths worldwide. The percutaneous coronary intervention is related to better evolution in patients of moderate and high risk; however, there are still doubts about the optimal time to carry out the procedure. Objectives: To identify the optimal time for the coronary angiography and percutaneous coronary intervention in patients with NSTE-ACS of moderate-high risk. Method: An observational, longitudinal and prospective study was conducted with 74 patients who were admitted with a diagnosis of NSTE-ACS at the «Instituto de Cardiología y Cirugía Cardiovascular», from January 1, 2011 to December 31, 2013. Results: A total of 74 patients were analyzed, with a mean age of 69.7±9.56 and a predominance of males (55.4%). There were no discrepancies between the risk factors in each group (p>0.05). The TIMI average was 4.8. Most of patients presented two-vessel disease. The infarct-related artery was mostly the left anterior descending artery. Major events occurred in 8 patients (10.8%), the largest number was observed in the late intervention group. The most frequent minor event was angina, (7 patients), most frequently in the late intervention group. The group with the lowest probability of survival was that of late treatment. Conclusions: The patients in the intermediate intervention group (between 12 and 24 hours, group B) showed the greatest benefits of the coronary angiography and reperfusion strategy.