Reserve angiography and revascularisation for high risk patients with ongoing ischaemia

Question Is a routine or a selective invasive strategy more effective in treating acute coronary syndrome?

Synopsis Optimal treatment for patients with unstable angina or non-ST segment elevation myocardial infarction remains controversial. The investigators comprehensively searched Medline, the Cochrane Registry of Controlled Trials, abstracts from major cardiology meetings, and cross references from original articles and reviews for relevant trials comparing benefits and risks of routine versus selective invasive treatment strategies. A routine invasive strategy was defined as all patients with unstable angina or non-ST segment elevation myocardial infarction undergoing …