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Possible Benefit to Survival from Early Invasive Strategies in Patients with Acute Coronary Syndromes
- Dharam J. Kumbhani, MD, SM; and
- Anthony A. Bavry, MD, MPH
- From The Cleveland Clinic, Cleveland, OH 44195.
TO THE EDITOR:
In their systematic review (1), Qayyum and colleagues report that there is no mortality benefit or reduction in nonfatal myocardial infarction from an early invasive strategy compared with conservative management for patients with non–ST-segment elevation acute coronary syndromes. We conducted 2 systematic reviews on this topic (2, 3) and demonstrated a statistically significant improvement in mortality and nonfatal myocardial infarction in the same population over a mean follow-up of 2 years. Specifically, in an analysis …
