Revascularization Strategies for Non-ST-Elevation Myocardial Infarction

Bennet George, Naoki Misumida, Khaled M. Ziada

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


Purpose of Review: Non-ST-elevation myocardial infarction (NSTEMI) is an urgent medical condition that requires prompt application of simultaneous pharmacologic and non-pharmacologic therapies. The variation in patient clinical characteristics coupled with the multitude of treatment modalities makes optimal and timely management challenging. This review summarizes risk stratification of patients, the role and timing of revascularization, and highlights important considerations in the revascularization approach with attention to individual patient characteristics. Recent Findings: The early invasive management of NSTEMI has fostered a reduction in future ischemic events. Risk calculators are helpful in determining which patients should receive early invasive management. As many patients have multivessel disease, identifying the true culprit lesion can be challenging. Special attention should be given to those at the highest risk, such as diabetics, patients with renal failure, and those with left main disease. Summary: In patients with acute coronary syndrome, the decision and mode of revascularization should carefully integrate the patient’s clinical characteristics as well as the complexity of the coronary anatomy.

Original languageEnglish
Article number39
JournalCurrent Cardiology Reports
Issue number5
StatePublished - May 1 2019

Bibliographical note

Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.


  • Non-ST-elevation myocardial infarction
  • Revascularization
  • Review

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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