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Reply to the letter entitled “Risk Stratification and Timing for Invasive Approach in Patients with non-STEMI”

Published:February 22, 2019DOI:https://doi.org/10.1016/j.ajem.2019.02.034
      We appreciate the supportive comments in the letter entitled “Risk stratification and Timing for Invasive Approach in Patients with Non-STEMI” in response to our original article entitled “Gender-Based Outcome Differences for Emergency Department Presentation of Non-STEMI Acute Coronary Syndrome” [
      • Langabeer J.R.
      • Champagne-Langabeer T.
      • Fowler R.
      • Henry T.D.
      Gender-based outcome differences for emergency department presentation of non-STEMI acute coronary syndrome.
      ]. Current literature supports the use of coronary angiography and revascularization for the majority of patients with Non-ST-Segment Elevation Myocardial Infarction (NSTEMI). Although the timing of coronary angiography and revascularization remains controversial, we do agree that clinical features and risk stratification play an important role in this decision. Still, we believe shortening treatment delays including time to patient presentation, emergency department length of stay (LOS) as well as important clinical outcomes such as overall hospital LOS and mortality remain important goals.
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      Reference

        • Langabeer J.R.
        • Champagne-Langabeer T.
        • Fowler R.
        • Henry T.D.
        Gender-based outcome differences for emergency department presentation of non-STEMI acute coronary syndrome.
        Am J Emerg Med. 2019; 37: 179-182