[Invasive versus noninvasive approach in the treatment of nonstable angina pectoris and NSTEMI: pro and con].
Acute coronary syndrome, although unique in its pathophysiologic mechanism, in its different clinical presentations is characterized by different diagnostic and therapeutic approaches. Conservative approach is complementary rather than competitive to modern invasive percutaneous procedures on coronary arteries. The guidelines are clear but have been subject to dynamic changes in the last several years and we can expect further changes and be open to them. Two issues are discussed in the article. The first is whether we need to be still more efficient in the invasive approach as an adjunct to medical therapy, and second is whether all patients with low risk should be submitted to diagnostic coronary angiography and when.
Mirat
Jure
J
Department of Cardiovascular Diseases, Sveti Duh General Hospital, Zagreb, Croatia. jure_mirat@yahoo.com
D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000628:therapy; D000789:Angina, Unstable / Q000175:diagnosis / Q000628:therapy*; D004562:Electrocardiography; D006801:Humans