EVAluatiOn in ELDerly Patients with NSTEMI of COMPLplete rEvascularization sTratEgy

Project summary

CONTEXT

The management of non-ST segment myocardial infarction (NSTEMI) still remains problematic in the elderly. Recent studies aim to further determine the best management strategy for the elderly and in particular to determine whether coronary angiography should be systematic in this context. Once coronary angiography has been performed, one may wonder whether complete revascularization (CR) is beneficial for the patient.

GOALS

To study the prognostic value of complete coronary revascularization (CR) compared to incomplete revascularization (RIC) on the occurrence of major cardiac and cerebrovascular events (MACCE) as well as hemorrhagic events at 1 year, in patients aged 80 and no longer admitted for non-ST segment elevation myocardial infarction (NSTEMI) and multi-trunk lesions (at least two significant lesions on the coronary network: lesions ≥ 70% on vessels greater than 2.5 mm and ≥ 50 % on the left common trunk) having benefited from at least one revascularization.

METHODOLOGY

Comparison of different parameters (death rate, in-stent thrombosis, unplanned or emergency revascularization, revascularization on the target lesion, non-fatal myocardial infarction, non-fatal stroke and serious hemorrhage (BARC ≥ 3) at least one year of follow-up).