Myocardial revascularization in 2010 – based on Guidelines on myocardial revascularization of ESC and EACTS. Part II – PCI in acute coronary syndromes Review article

Abstract

New Guidelines on Myocardial Revascularization, recently published at the end of 2010 by European Society of Cardiology (ESC) and European Association for Cardio-Thoracic Surgery (EACTS), summarized all critical issues concerning stable angina and acute coronary syndromes revascularization procedures. Primary PCI is the most effective method in STEMI patients with time delay no longer than 120 minutes from the first medical contact. Emergent coronary angiography and mechanical revascularization (PCI or CABG) is also the best medical option for high risk patient with NSTE-ACS. An early invasive strategy (<24 h) is indicated in patients with NSTE-ACS and GRACE score >140 or multiple other high risk criteria. New antiplatelet agents (prasugrel and ticagrelor) were endorsed for all ACS patients.