
Unstable Angina: Risk Stratification for Significant Coronary Artery Disease in The Era of High-Sensitivity Cardiac Troponin
References
- Fox KA, Cokkinos DV, Deckers J, Keil U, Maggioni A, Steg G. The ENACT study: A pan-European survey of acute coronary syndromes. European Network for Acute Coronary Treatment. European Heart Journal. 2000 Sep; 21(17): 1440–1449. DOI: 10.1053/euhj.2000.2185
- D’Souza M, Sarkisian L, Saaby L, Poulsen TS, Gerke O, Larsen TB, et al. Diagnosis of unstable angina pectoris has declined markedly with the advent of more sensitive troponin assays. The American Journal of Medicine. 2015 Aug; 128(8): 852–860. DOI: 10.1016/j.amjmed.2015.01.044
- Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM, Bischoff JM, et al. 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022 Jan 18; 145(3): e18–e114. DOI: 10.1161/CIR.0000000000001038
- Stone PH, Thompson B, Anderson HV, Kronenberg MW, Gibson RS, Rogers WJ, et al. Influence of race, sex, and age on management of unstable angina and non-Q-wave myocardial infarction: The TIMI III registry. JAMA. 1996 Apr 10; 275(14): 1104–1112. DOI: 10.1001/jama.275.14.1104
- Collet JP, Thiele H, Barbato E, Barthélémy O, Bauersachs J, Bhatt DL, et al. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. European Heart Journal. 2021 Apr 7; 42(14): 1289–1367. DOI: 10.1093/eurheartj/ehaa575
- Tello-Montoliu A, Marín F, Roldán V, Mainar L, López MT, Sogorb F, et al. A multimarker risk stratification approach to non-ST elevation acute coronary syndrome: Implications of troponin T, CRP, NT pro-BNP and fibrin D-dimer levels. Journal of Internal Medicine. 2007 Dec; 262(6): 651–658. DOI: 10.1111/j.1365-2796.2007.01871.x
- Heeschen C, Hamm CW, Mitrovic V, Lantelme NH, White HD; Platelet Receptor Inhibition in Ischemic Syndrome Management (PRISM) Investigators. N-terminal pro-B-type natriuretic peptide levels for dynamic risk stratification of patients with acute coronary syndromes. Circulation. 2004 Nov 16; 110(20): 3206–3212. DOI: 10.1161/01.CIR.0000147611.92021.2B
- Sinkovic A, Pogacar V. Risk stratification in patients with unstable angina and/or non-ST-elevation myocardial infarction by Troponin T and plasminogen-activator-inhibitor-1 (PAI-1). Thrombosis Research. 2004; 114(4): 251–257. DOI: 10.1016/j.thromres.2004.06.040
- Fan L, Zhang ZL, Tang JN, Guo QQ, Zhang JC, Cheng MD, et al. The age, NT-proBNP, and ejection fraction score as a novel predictor of clinical outcomes in CAD patients after PCI. Clinical and Applied Thrombosis/Hemostasis. 2022 Jan–Dec; 28:
10760296221113345 . DOI: 10.1177/10760296221113345 - Xia Y, Xia Y, Xu K, Ma Y, Pan D, Xu T, et al. Predictive value of the novel risk score BETTER (BiomarkErs and compuTed Tomography scorE on Risk stratification) for patients with unstable angina. Herz. 2015 Mar; 40(Suppl 1): 43–50. DOI: 10.1007/s00059-014-4141-y
- Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, et al. Fourth Universal Definition of Myocardial Infarction (2018). Journal of American College of Cardiology. 2018 Oct 30; 72(18): 2231–2264. DOI: 10.1016/j.jacc.2018.08.1038
- Zeitouni M, Silvain J, Guedeney P, Kerneis M, Yan Y, Overtchouk P, et al. Periprocedural myocardial infarction and injury in elective coronary stenting. European Heart Journal. 2018 Apr 1.39(13): 1100–1109. DOI: 10.1093/eurheartj/ehx799
- Lancellotti P, Price S, Edvardsen T, Cosyns B, Neskovic AN, Dulgheru R, et al. The use of echocardiography in acute cardiovascular care: recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association. European Heart Journal Acute Cardiovascular Care. 2015 Feb; 4(1): 3–5. DOI: 10.1177/2048872614568073
- Hall M, Bebb OJ, Dondo TB, Yan AT, Goodman SG, Bueno H, et al. Guideline-indicated treatments and diagnostics, GRACE risk score, and survival for non-ST elevation myocardial infarction. European Heart Journal. 2018 Nov 7; 39(42): 3798–3806. DOI: 10.1093/eurheartj/ehy517
- Antman EM, Cohen M, Bernink PJ, McCabe CH, Horacek T, Papuchis G, et al. The TIMI risk score for unstable angina/non-ST elevation MI: A method for prognostication and therapeutic decision making. JAMA. 2000 Aug 16; 284(7): 835–842. DOI: 10.1001/jama.284.7.835
- Pavlou M, Ambler G, Seaman SR, Guttmann O, Elliott P, King M, et al. How to develop a more accurate risk prediction model when there are few events. BMJ. 2015 Aug 11; 351: h3868. Erratum in: BMJ. 2016 Jun 08. 353: i3235. DOI: 10.1136/bmj.h3868
- Roe MT, Harrington RA, Prosper DM, Pieper KS, Bhatt DL, Lincoff AM, et al. Clinical and therapeutic profile of patients presenting with acute coronary syndromes who do not have significant coronary artery disease. The Platelet Glycoprotein IIb/IIIa in Unstable Angina: Receptor Suppression Using Integrilin Therapy (PURSUIT) Trial Investigators. Circulation. 2000 Sep 5; 102(10): 1101–1106. DOI: 10.1161/01.cir.102.10.1101
- Morrow DA, Cannon CP, Rifai N, Frey MJ, Vicari R, Lakkis N, et al. Ability of minor elevations of troponins I and T to predict benefit from an early invasive strategy in patients with unstable angina and non-ST elevation myocardial infarction: Results from a randomized trial. JAMA. 2001; 286(19): 2405–2412. DOI: 10.1001/jama.286.19.2405
- Puelacher C, Gugala M, Adamson PD, Shah A, Chapman AR, Anand A, et al. Incidence and outcomes of unstable angina compared with non-ST-elevation myocardial infarction. Heart. 2019 Sep; 105(18): 1423–1431. DOI: 10.1136/heartjnl-2018-314305
- Eggers KM, Jernberg T, Lindahl B. Unstable angina in the era of cardiac troponin assays with improved sensitivity-A clinical dilemma. American Journal of Medicine. 2017 Dec; 130(12): 1423–1430.e5. DOI: 10.1016/j.amjmed.2017.05.037
- Carlton EW, Than M, Cullen L, Khattab A, Greaves K. ‘Chest pain typicality’ in suspected acute coronary syndromes and the impact of clinical experience. American Journal of Medicine. 2015 Oct; 128(10): 1109–1116.e2. DOI: 10.1016/j.amjmed.2015.04.012
- Genders TS, Steyerberg EW, Alkadhi H, Leschka S, Desbiolles L, Nieman K, et al. A clinical prediction rule for the diagnosis of coronary artery disease: Validation, updating, and extension. European Heart Journal. 2011 Jun; 32(11): 1316–1330. DOI: 10.1093/eurheartj/ehr014
- Tan NS, Goodman SG, Yan RT, Elbarouni B, Budaj A, Fox KA, et al. Comparative prognostic value of T-wave inversion and ST-segment depression on the admission electrocardiogram in non-ST-segment elevation acute coronary syndromes. American Heart Journal. 2013 Aug; 166(2): 290–297. DOI: 10.1016/j.ahj.2013.04.010
- Giannitsis E, Biener M, Hund H, Mueller-Hennessen M, Vafaie M, Gandowitz J, et al. Management and outcomes of patients with unstable angina with undetectable, normal, or intermediate hsTnT levels. Clinical Research in Cardiology. 2020 Apr; 109(4): 476–487. DOI: 10.1007/s00392-019-01529-4
- Fladseth K, Kristensen A, Mannsverk J, Trovik T, Schirmer H. Pre-test characteristics of unstable angina patients with obstructive coronary artery disease confirmed by coronary angiography. Open Heart. 2018 Nov 1; 5(2):
e000888 . DOI: 10.1136/openhrt-2018-000888 - Jobs A, Mehta SR, Montalescot G, Vicaut E, Van’t Hof AWJ, Badings EA, et al. Optimal timing of an invasive strategy in patients with non-ST-elevation acute coronary syndrome: A meta-analysis of randomised trials. Lancet. 2017 Aug 19; 390(10096): 737–746. DOI: 10.1016/S0140-6736(17)31490-3
- Maron DJ, Hochman JS, Reynolds HR, Bangalore S, O’Brien SM, Boden WE, et al. Initial invasive or conservative strategy for stable coronary disease. The New England Journal of Medicine. 2020 Apr 9; 382(15): 1395–1407. DOI: 10.1056/NEJMoa1915922
- Jespersen L, Hvelplund A, Abildstrøm SZ, Pedersen F, Galatius S, Madsen JK, et al. Stable angina pectoris with no obstructive coronary artery disease is associated with increased risks of major adverse cardiovascular events. European Heart Journal. 2012 Mar; 33(6): 734–744. DOI: 10.1093/eurheartj/ehr331
- Murthy VL, Naya M, Foster CR, Gaber M, Hainer J, Klein J, et al. Association between coronary vascular dysfunction and cardiac mortality in patients with and without diabetes mellitus. Circulation. 2012 Oct 9; 126(15): 1858–1868. DOI: 10.1161/CIRCULATIONAHA.112.120402
- Patel MR, Peterson ED, Dai D, Brennan JM, Redberg RF, Anderson HV, et al. Low diagnostic yield of elective coronary angiography. The New England Journal of Medicine. 2010 Mar 11; 362(10): 886–895. Erratum in: The New England Journal of Medicine, 2010 Jul 29. 363(5): 498. DOI: 10.1056/NEJMoa0907272
- Ford TJ, Stanley B, Good R, Rocchiccioli P, McEntegart M, Watkins S, et al. Stratified medical therapy using invasive coronary function testing in angina: The CorMicA Trial. Journal of American College of Cardiology. 2018 Dec 11. 72(23 Pt A): 2841–2855. DOI: 10.1016/j.jacc.2018.09.006
DOI: https://doi.org/10.5334/gh.1286 | Journal eISSN: 2211-8179
Language: English
Submitted on: Jul 16, 2023
Accepted on: Dec 18, 2023
Published on: Jan 19, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
Keywords:
© 2024 Luis Paiva, Maria João Vieira, Rui Baptista, Maria João Ferreira, Lino Gonçalves, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.