- Oral presentation
- Open Access
Does revascularisation for residual ischaemia in patients with ACS influence prognosis?
© Sekhri et al. 2016
- Published: 27 January 2016
- Acute Coronary Syndrome
- Cardiac Magnetic Resonance
- Perfusion Imaging
- Perfusion Defect
- Health Record
Residual myocardial ischaemia early after acute coronary syndromes (ACS) is commonly regarded as an adverse prognostic sign and an indication for revascularisation. However, the benefits of revascularisation for improving prognosis are not known.
Analysis of 598 consecutive patients with ACS treated with coronary stenting, all of whom underwent adenosine stress cardiac magnetic resonance (CMR) perfusion imaging to guide revascularisation decisions. Follow-up data were obtained from hospital electronic health records.
In our patients with ACS and coronary stenting, inducible ischaemia was associated with increased risk of death during follow-up. Revascularisation did not appear to reduce the risk and should be reserved for improving symptoms in patients on optimal medical therapy.
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