American heart association 2008 scientific sessions United European gastroenterology week american college of rheumatology scientific meeting.

mediate-risk scores from the Global Registry of Acute Coronary Events (GRACE) revealed little difference in the primary outcome in terms of the strategies (7.7% early, 6.7% delayed; P = 0.43); however, the difference favoring the early strategy was significant for the group with high GRACE risk scores (14.1% early vs. 21.6% delayed; P = 0.0097). There were no significant differences in major bleeding or other safety concerns between strategies. (The GRACE database tracks outcomes of patients with ACS, including MI and unstable angina.) For all but patients with the highest-risk scores, Dr. Mehta concluded: “The decision regarding timing of intervention can depend on other factors such as cath lab availability and economic considerations.” However, he underscored that an early invasive strategy had a large impact on refractory ischemia, reducing it by 70%.