Non-ST-elevation acute coronary syndromes with previous coronary artery bypass grafting: a meta-analysis of invasive vs. conservative management.
Matthew KelhamRohan VyasRohini RamaseshanKrishnaraj S RathodRobbert J de WinterRuben W de WinterBjorn BendzHolger ThieleGeir HirlekarNuccia MoriciAung MyatLampros K MichalisJuan Sanchis ForésVijay KunadianColin BerryAnthony MathurDaniel A JonesPublished in: European heart journal (2024)
This is the first meta-analysis assessing the effect of a routine invasive strategy in patients with prior CABG who present with NSTE-ACS. The results confirm the under-representation of this patient group in RCTs of invasive management in NSTE-ACS and suggest that there is no benefit to a routine invasive strategy compared to a conservative approach with regard to major adverse cardiac events. These findings should be validated in an adequately powered RCT.