RT Journal Article
SR Electronic
T1 The Veterans Affairs Non-Q-Wave Infarction Strategies in Hospital (VANQWISH) Study
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 100
OP 104
VO 66
IS 2
A1 Patel, Vasant B.
A1 Moliterno, David J.
YR 1999
UL http://www.ccjm.org/content/66/2/100.abstract
AB In the Veterans Affairs Non-Q-Wave Infarction Strategies in Hospital (VANQWISH) trial, most patients with non-Q-wave myocardial infarction (Ml) fared no better with early invasive management (ie, diagnostic angiography within 2 to 3 days, followed by revascularization if indicated) than with a more conservative approach (ie, radionuclide ventriculography and thallium stress testing as initial diagnostic tests). These results should not be construed to diminish the value of early diagnostic angiography, which in patients with non-Q-wave Ml provides essential information for determining the need, timing, and method of revascularization. Until more information is available that incorporates contemporary practices and outcomes in patients with non-Q-wave MI, early coronary angiography should remain an acceptable method of risk stratification and should be followed by appropriate medical therapy or revascularization.