In-hospital revascularization and one-year outcome of acute coronary syndrome patients stratified by the GRACE risk score.
In the prospective, multicenter Canadian Acute Coronary Syndromes Registry, in-hospital revascularization was independently associated with better 1-year survival only among patients with high-risk non-ST-elevation acute coronary syndromes stratified by the Global Registry of Acute Coronary Events risk score; similar benefits were not observed in the low- and intermediate-risk groups. The Global Registry of Acute Coronary Events risk score appears to be a useful risk stratification tool that identifies high-risk patients for whom more aggressive treatment is warranted.
Yan
Andrew T
AT
Terrence Donnelly Heart Centre, Division of Cardiology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Yan
Raymond T
RT
Tan
Mary
M
Eagle
Kim A
KA
Granger
Christopher B
CB
Dabbous
Omar H
OH
Fitchett
David
D
Grima
Etienne
E
Langer
Anatoly
A
Goodman
Shaun G
SG
D000368:Aged; D000789:Angina, Unstable / Q000401:mortality / Q000628:therapy*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality / Q000628:therapy*; D009204:Myocardial Revascularization / Q000401:mortality; D012307:Risk Factors; D015996:Survival Rate; D016896:Treatment Outcome