Effects of renal insufficiency on early invasive management in patients with acute coronary syndromes (The TACTICS-TIMI 18 trial)

被引:102
作者
Januzzi, JL
Cannon, CP
DiBattiste, PM
Murphy, S
Weintraub, W
Braunwald, E
机构
[1] Massachusetts Gen Hosp, Div Cardiol, Boston, MA 02114 USA
[2] Merck Res Labs, West Point, PA USA
[3] Emory Univ, Atlanta, GA 30322 USA
[4] Brigham & Womens Hosp, Boston, MA 02115 USA
[5] TIMI Study Grp, Boston, MA USA
关键词
D O I
10.1016/S0002-9149(02)02844-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Among patients in the Treat Angina with Aggrastat and Determine Cost of Therapy with an Invasive or Conservative Strategy (TACTICS)-Thrombolysis In Myocardial Infarction (TIMI) 18 study, decreasing renal function was associated with an increased prevalence of high-risk clinical findings, more extensive coronary artery disease, and independently associated with a high rate of adverse ischemic events after non-ST-segment elevation acute coronary syndrome (NSTE ACS). Across the range of renal function among patients in TACTICS-TIMI 18, the use of tirofiban plus an early invasive strategy was superior to conservative, ischemia-guided NSTE ACS management.
引用
收藏
页码:1246 / +
页数:5
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