All patients were followed up for 3 months. Patients undergoing PCI in the first 24 hours of hospitalization were named the "Early Invasive Group", and those undergoing PCI between 24-72 hours of hospitalization were named the "Delayed Invasive Group". They had been randomized into 2 groups according to the timing of PCI through computer-generated randomization. As a result, the therapeutic strategy that will be chosen in NSTEMI patients in the acute period affects early, mid-term and long-term prognosis in a significant way.Ī total of 139 NSTEMI patients with moderate to high Thrombolysis in Myocardial Infarction (TIMI) risk scores that were being followed up at the Adana Numune Research and Education Hospital Cardiology Department between July 2011 and December 2011 were enrolled in the study. The aim of revascularization is to minimize the symptoms and hospitalization periods, and improve the short and long-term prognosis of patients. Further and more extensive studies are required to determine a strategy to decrease the mortality rates resulting from coronary artery disease. 3) This issue of optimal invasive timing remains unresolved through RCSs. The results of a meta-analysis that include four of these studies revealed that, although early catheterization performed on the first day of hospitalization is a reliable and superior method in preventing repetitive myocardial ischemia and decreasing the amount of hospitalization time required, it did not result in a significant difference in mortality rates. 1), 2) There were many RCS performed in order to determine the optimal timing of coronary angiography and revascularization in NSTEMI patients. In randomized controlled studies (RCS), it has been found that invasive procedures in the treatment of moderate to high risk NSTEMI is superior in offering protection against unwanted cardiac events compared to conservative treatment options. Among NSTEMI patients, the essential goals of coronary revascularization are minimizing angina symptoms, maintaining the systolic functions of the ventricles by resolving myocardial ischemia, lessening repetitive myocardial infarction (MI), and improving the prognosis in the short and mid-term by decreasing the progression to death.
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