Non-ST-Elevation Myocardial Infarction Clinical Trial
Official title:
Contrast Echocardiography in Assessment of Myocardial Perfusion in Patients With Non-ST Elevation Myocardial Infarction
In patients with acute myocardial infarction, treatment logistics are primarily defined
based upon ST segment shift in the electrocardiogram. While patients with ST elevation
(STEMI) are forwarded to immediate coronary angiography and percutaneous coronary
intervention, patients without ST elevation (NSTEMI) are initially medically treated and
recommended coronary angiography within 48-72 hours.
Early invasive treatment has been found cost-effective in intermediate and high-risk NSTEMI
patients and current guidelines recommend use of the Thrombolysis in Myocardial Infarction
(TIMI) risk score to identify patients who will benefit from early intervention due to high
risk of new infraction and cardiovascular death. However, new research has suggested that
TIMI risk score may not always identify patients with severe angiographic disease.
The purpose of this study was to assess if contrast echocardiography could be used to
identify NSTEMI patients with angiographically severe disease independent of their TIMI risk
score.
n/a
Observational Model: Case-Only, Time Perspective: Prospective
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