Prognostic Value of Clinical Variables at Presentation in Patients with Non-ST-Segment Elevation Acute Coronary Syndromes: Results of the Proyecto de Estudio del Pronóstico de la Angina (PEPA)

  title={Prognostic Value of Clinical Variables at Presentation in Patients with Non-ST-Segment Elevation Acute Coronary Syndromes: Results of the Proyecto de Estudio del Pron{\'o}stico de la Angina (PEPA)},
  author={Esteban Lopez de Sa and Jos{\'e} Luis L{\'o}pez-Send{\'o}n and Ignasi Anguera and Armando Bethencourt and Xavier Bosch},
Patients with suspected non-ST-segment elevation acute coronary syndromes (NSTEACS) constitute a heterogeneous population with variable outcomes. Risk stratification in this population of patients is difficult due to the complexity in patient risk profile. We conducted this study to characterize the value of clinical and electrocardiographic variables for risk stratification in an unselected population of consecutive patients with NSTEACS on admission. Thirty-five clinical and… 

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Patients with non-ST-segment elevation acute coronary syndromes represent an heterogeneous group with a high incidence of complications, and Pharmacologic and, especially, invasive treatment varies widely in different hospitals.

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A review of treatment strategies of unstable angina and myocardial infarction without ST elevation is warranted in the U.K. to ensure that patients are receiving optimum treatments to reduce mortality and morbidity.

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Among patients presenting with acute ischemic chest pain without persistent ST-segment elevation, blacks appeared to have less severe coronary disease, received revascularization less frequently, and had less recurrent ischemia compared with nonblacks, which suggests that more aggressive strategies should be directed to those patients with the greatest likelihood of adverse outcomes.

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