PMID- 29466166 OWN - NLM STAT- MEDLINE DCOM- 20190520 LR - 20191113 IS - 0022-9040 (Print) IS - 0022-9040 (Linking) IP - 1 DP - 2018 Jan TI - [Optimization of Invasive Treatment Strategy in Patients With Non-ST Elevation Acute Coronary Syndrome]. PG - 5-10 AB - OBJECTIVE: to compare strategies of invasive treatment of patients with non-ST elevation acute coronary syndrome (NSTEACS) hospitalized in 2014 and 2015. MATERIALS AND METHODS: We have analyzed treatment strategy used in patients with NSTEACS hospitalized in cardio-reanimation department of a city hospital during one month in two successive years (January 2014 and November 2015). We have compared indications to, and timing of coronary angiography, numbers of performed percutaneous coronary interventions (PCI) and coronary artery bypass grafting surgeries. RESULTS: Portion of patients subjected to invasive procedures in 2014 was 26 %, in 2015-42 %. All 32 primary procedures were PCIs. An increase was due to delayed interventions (24-72 hours), which were not performed in 2014. We also more often used selective multivessel coronary stenting, what facilitated availability of invasive treatment for elderly patients. Hospital mortality of patients with NSTEACS decreased from 16 to 7 %. FAU - Prilutskaya, Y A AU - Prilutskaya YA AD - City Clinical Hospital named after S. S. Yudin, Moscow. FAU - Dvoretsky, L I AU - Dvoretsky LI AD - Federal State Budgetary Educational Institution of Higher Education "I. M. Sechenov First Moscow State Medical University" of the Ministry of Health of the Russian Federation. LA - rus PT - Journal Article PL - Russia (Federation) TA - Kardiologiia JT - Kardiologiia JID - 0376351 SB - IM MH - *Acute Coronary Syndrome MH - Coronary Angiography MH - Coronary Artery Bypass MH - Humans MH - *Percutaneous Coronary Intervention MH - Stents MH - Treatment Outcome OTO - NOTNLM OT - coronary angiography OT - coronary artery bypass grafting OT - non-ST elevation acute coronary syndrome OT - percutaneous coronary intervention EDAT- 2018/02/22 06:00 MHDA- 2019/05/21 06:00 CRDT- 2018/02/22 06:00 PHST- 2018/02/22 06:00 [entrez] PHST- 2018/02/22 06:00 [pubmed] PHST- 2019/05/21 06:00 [medline] AID - 10.18087/cardio.2018.1.10077 [doi] PST - ppublish SO - Kardiologiia. 2018 Jan;(1):5-10. doi: 10.18087/cardio.2018.1.10077.