Unplanned revascularisation between 30 days and one year
| Treatment arm and event | Mode of revascularisation | Details | |
|---|---|---|---|
| PCI | CABG | ||
| ACS, acute coronary syndrome; CA, coronary angiography; CABG, coronary artery bypass grafting; ETT, exercise tolerance test; IRV, infarct related vessel; ISR, in-stent restenosis; PCI, percutaneous coronary intervention; STEMI, ST segment elevation myocardial infarction; TT, troponin T. | |||
| Conservative (n = 15) | |||
| Emergency readmission with ACS (n = 8) | 5 | 3 | 4 TT negative ACS receiving urgent PCI; 1 TT negative ACS receiving urgent CABG; 2 TT positive ACS receiving urgent CABG; 1 STEMI (different territory) receiving urgent PCI |
| Other (n = 7) | 4 | 3 | 3 undergoing CA during index admission for postinfarction angina or positive ETT but revascularisation deferred: 1 interval CABG, 2 interval PCI; 4 undergoing CA after discharge, followed by revascularisation: 1 postinfarction angina undergoing CA then CABG, 2 post-infarction angina undergoing CA then PCI, 1 adverse ETT at 6 weeks detained for CA and urgent CABG |
| rPCI (n = 9) | |||
| Emergency readmission with ACS (no revascularisation during index admission, but triple vessel disease, n = 4) | 1 | 3 | 1 discharged after negative ETT readmitted with TT negative ACS receiving CABG; 1 TT positive ACS receiving PCI (not IRV); 2 on elective list for CABG readmitted with ACS (1 STEMI in different territory from original; 1 TT negative ACS) receiving urgent CABG |
| Emergency readmission with ACS after PCI to IRV during index admission (n = 4) | 3 | 1 | 1 TT negative ACS receiving CABG; 1 further STEMI receiving PCI to new lesion within IRV; 1 TT negative ACS receiving PCI to new lesion within IRV; 1 STEMI receiving PCI to different vessel |
| Other (n = 1) | 0 | 1 | 1 ISR receiving elective CABG |