Observational analysis of non-ST-segment elevation myocardial infarction invasive management and mortality over the decades.

ABSTRACT:

Background

Routine invasive management by coronary angiography and revascularisation as appropriate reduces recurrent ischaemic events in non-ST-segment myocardial infarction (NSTEMI), but its mortality benefit is uncertain.

Methods

Within this state-wide retrospective cohort study, patients with a primary diagnosis of NSTEMI were identified from the New South Wales (NSW) Admitted Patient Data Collection database between 2003 and 2020 and linked to the NSW death registry. Primary outcomes were cardiovascular (CV) and all-cause mortality among NSTEMI patients stratified by in-hospital invasive management.

Results

Among 121 089 patients with NSTEMI (median age 71.4 years; 62.7% men), invasive management increased from 48.8% to 66.8% while all-cause in-hospital mortality

SUBMITTER: Juergens B 

PROVIDER: S-EPMC12496111 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature