Optimal Management of Acute Coronary Syndromes

In the United States, more than a million people are hospitalized annually with unstable angina or myocardial infarction without ST-segment elevation, so-called acute coronary syndromes. For these patients, several treatments have proved to be effective in reducing the incidence of death, infarction or reinfarction, and recurrent ischemia. These treatments include intensive medical therapy and coronary angiography followed by revascularization, if indicated.^1,2 Given the sheer number of medical interventions that are now available for these conditions, knowing which therapy to administer and when to do so is confusing for many physicians. The studies by Giugliano et al.³ and Mehta et . . .