What are the factors associated with appropriate selection of early invasive strategy or ischemia-guided strategy in patients with NSTE-ACS?
The factors associated with appropriate selection of early invasive strategy or ischemia-guided strategy in patients with NSTE-ACS include refractory angina, signs or symptoms of heart failure or new or worsening mitral regurgitation, hemodynamic instability, recurrent angina or ischemia at rest or with low-level activities despite intensive medical therapy, sustained ventricular tachycardia or ventricular fibrillation, low-risk score (eg, TIMI [0 or 1], low-risk Tn-negative female patients, patient or clinician preference in the absence of high-risk features, diabetes mellitus, reduced left ventricular systolic function (EF <0.40), early postinfarction angina, PCI within 6 months, prior CABG, and GRACE risk score 109-140; TIMI score 2.