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VANQWISH trial
Randomized, multicenter study within the Veterans Administration system.
Investigated invasive versus conservative ischemia-guided strategies in 876 patients with non-Q-wave myocardial infarction.
The invasive group received coronary angiography post-MI.
Conservative strategy may be better. Patients with persistent ischemia & those with elevated troponin-I may benefit from coronary angiography & revascularization. See TACTICS-TIMI trial.
Related
TACTICS-TIMI trial
General
clinical trial
References
- Journal Watch 22(8):62, 2002
- Barnett PG, Chen S, Boden WE et al
Cost-effectiveness of a conservative, ischemia-guided
management strategy after non-Q-wave myocardial infarction:
results of a randomized trial.
Circulation. 2002 Feb 12;105(6):680-4.
PMID: 11839621 Free Article
- Mark DB, Lee TH.
Conservative management of acute coronary syndrome:
cheaper and better for you?
Circulation. 2002 Feb 12;105(6):666-8.
PMID: 11839616 Free Article