Proportional troponin changes and risk for outcomes with intervention strategies in non-ST-elevation acute coronary syndrome across kidney function.
Roy O MathewJanani RangaswamiDmitry AbramovGauranga MahalwarShaitalya VellankiFarah AbuazzamGary E FraserFayth Miles ButlerKevin Bryan LoCharles A HerzogGautam R ShroffMandeep S SidhuSubhash BanerjeePublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2023)
Overall, the invasive strategy was safe and associated with improved outcomes across kidney function in NSTE-ACS. Additionally, >80% proportional change in serial troponin in NSTE-ACS is associated with benefit from an early versus a delayed invasive strategy regardless of kidney function. These findings deserve confirmation in randomized controlled trials.