In this trial of patients with non-ST elevation ACS (with TIMI score >3), they were randomized to immediate cath intervention (mean 1 hour), or delayed to the next working day (mean 21 hours). There was no difference in peak troponin (primary endpoint), nor death/MI/revascularization at 1 month (secondary endpoint). Delayed intervention in patients with non-ST-elevation ACS is reasonable (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.