Long-term Prognosis of Patients with Acute non-ST-segment Elevation Myocardial Infarction

Long-term Prognosis of Patients with Acute non-ST-segment Elevation Myocardial Infarction undergoing Different Treatment Strategies

Bo Zhang;Da-Peng Shen;Xu-Chen Zhou;Jun Liu;Rong-Chong Huang;Yan-E Wang;Ai-Ming Chen

【期刊名称】《中华医学杂志（英文版）》 【年(卷),期】2015(128)008

【摘要】Background:In cardiology,it is controversial whether different therapy

strategies

influence

prognosis

after

acute

coronary

syndrome.We examined and compared the long-term outcomes of invasive and conservative strategies in patients with non-ST-segment elevation myocardial infarction (NSTEMI) and characterized the patients selected for an invasive approach.Methods:A total of 976 patients with acute NSTEMI were collected from December 2006 to October 2012 in the First Affiliated Hospital of Dalian Medical University Hospital.They are divided into conservative strategy (586 patients) and invasive strategy (390 patients) group.Unified follow-up questionnaire was performed by telephone contact (cut-off date was November,2013).The long-term clinical events were analyzed and related to the different treatment strategies.Results:The median follow-up time was 29 months.Mortality was 28.7％ (n =168) in the conservative group and 2.1％ (n =8) in the invasive management at long-term clinical follow-up.The