Angiography Beneficial for Management of Unstable Angina

Share this content:
Angiography Beneficial for Management of Unstable Angina
Angiography Beneficial for Management of Unstable Angina

WEDNESDAY, May 3, 2017 (HealthDay News) -- Use of routine invasive coronary angiography is beneficial for management of patients with unstable angina, according to a study published online May 1 in the Annals of Internal Medicine.

Sara Vogrin, M.B.B.S., from the University of Melbourne in Australia, and colleagues examined the effect of angiography on mortality in unstable angina in a longitudinal study. Data were included for 33,901 emergently-admitted patients with unstable angina who did or did not receive angiography during their first hospitalization. Participants were balanced on 44 propensity score covariates.

The researchers observed a significant decrease in 12-month mortality with routine angiography (hazard ratio, 0.48); no additional statistically significant mortality benefit was seen for revascularization compared with diagnostic angiography alone. The predicted cumulative probability of death at 12 months was 0.024 and 0.097 for patients receiving angiography within two months of their index unstable angina versus those not receiving it, respectively. An unmeasured confounder must independently decrease mortality by 90 percent and have a prevalence gap of 15 percent or more between the angiographic groups in order to negate the observed effect size.

"Patients with unstable angina benefit from an invasive management pathway initiated by invasive coronary angiography during their hospitalization and up to two months after discharge," the authors write.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Risk for Interval CRC Higher in Blacks Than Whites

Risk for Interval CRC Higher in Blacks Than ...

Differences most pronounced for cancer of the distal colon and the rectum

Even Small Amounts of Alcohol Can Affect Breast Cancer Risk

Even Small Amounts of Alcohol Can Affect Breast ...

Small glass of wine each day can up odds of both premenopausal and postmenopausal breast cancer

ATS: Angiotensin II Improves BP in Vasodilatory Shock

ATS: Angiotensin II Improves BP in Vasodilatory Shock

Angiotensin II effective for vasodilatory shock in patients not responding to conventional vasopressors

is free, fast, and customized just for you!

Already a member?

Sign In Now »