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Impact of an invasi...
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Alfredsson, JoakimÖstergötlands Läns Landsting,Linköpings universitet,Avdelningen för kardiovaskulär medicin,Hälsouniversitetet,Kardiologiska kliniken US
(författare)
Impact of an invasive strategy on 5 years outcome in men and women with non-ST-segment elevation acute coronary syndromes
- Artikel/kapitelEngelska2014
Förlag, utgivningsår, omfång ...
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Elsevier,2014
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:liu-112177
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-112177URI
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https://doi.org/10.1016/j.ahj.2014.06.025DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-236547URI
Kompletterande språkuppgifter
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Språk:engelska
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Sammanfattning på:engelska
Ingår i deldatabas
Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Funding Agencies|Astra-Zeneca; Merck; Sharp Dome; Sanofi-Aventis; Sanofi-Aventis/Bristol-Myers Squibb; GlaxoSmithKline; Lilly; AstraZeneca
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Background A routine invasive (RI) strategy in non-ST-segment elevation acute coronary syndromes (NSTE ACS) has been associated with better outcome compared with a selective invasive (SI) strategy in men, but results in women have yielded disparate results. The aim of this study was to assess gender differences in long-term outcome with an SI compared with an RI strategy in NSTE ACS. Methods Individual patient data were obtained from the FRISC II trial, ICTUS trial, and RITA 3 trial for a collaborative meta-analysis. Results Men treated with an RI strategy had significantly lower rate of the primary outcome 5-year cardiovascular (CV) death/myocardial infarction (MI) compared with men treated with an SI strategy (15.6% vs 19.8%, P = .001); risk-adjusted hazards ratio (HR) 0.73 (95% CI 0.63-0.86). In contrast, there was little impact of an RI compared with an SI strategy on the primary outcome among women (16.5% vs 15.1%, P = .324); risk-adjusted HR 1.13 (95% CI 0.89-1.43), interaction P = .01. For the individual components of the primary outcome, a similar pattern was seen with lower rate of MI (adjusted HR 0.69, 95% CI 0.57-0.83) and CV death (adjusted HR 0.71, 95% CI 0.56-0.89) in men but without obvious difference in women in MI (adjusted HR 1.13, 95% CI 0.85-1.50) or CV death (adjusted HR 0.97, 95% CI 0.68-1.39). Conclusions In this meta-analysis comparing an SI and RI strategy, benefit from an RI strategy during long-term follow-up was confirmed in men. Conversely, in women, there was no evidence of benefit.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Clayton, TimLondon School Hyg and Trop Med, England
(författare)
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Damman, PeterUniversity of Amsterdam, Netherlands
(författare)
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Fox, Keith A. A.Royal Infirm, Scotland
(författare)
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Fredrikson, MatsLinköpings universitet,Avdelningen för inflammationsmedicin,Hälsouniversitetet(Swepub:liu)matfr43
(författare)
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Lagerqvist, BoUppsala universitet,Kardiologi,Department of Cardiology, Cardiothoracic Centre, University Hospital, Uppsala, Sweden(Swepub:uu)bolager
(författare)
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Wallentin, LarsUppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi,Department of Cardiology, Cardiothoracic Centre, University Hospital, Uppsala, Sweden(Swepub:uu)larswall
(författare)
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de Winter, Robbert J.University of Amsterdam, Netherlands
(författare)
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Swahn, EvaÖstergötlands Läns Landsting,Linköpings universitet,Avdelningen för kardiovaskulär medicin,Hälsouniversitetet,Kardiologiska kliniken US(Swepub:liu)evasw45
(författare)
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Linköpings universitetAvdelningen för kardiovaskulär medicin
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:American Heart Journal: Elsevier168:4, s. 522-5290002-87031097-6744
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