{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T16:54:55Z","timestamp":1755795295766,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Open Heart"],"accepted":{"date-parts":[[2014,5,28]]},"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The best strategy in patients with prior coronary artery bypass graft surgery (CABG) who present with non-ST elevation myocardial infarction (NSTEMI) remains less well defined. We compare the characteristics, therapeutic interventions and outcomes of patients with prior CABG presenting with NSTEMI.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>All patients who presented to our hospital during 2007\u20132012 with available electronic records were analysed retrospectively. Outcomes were compared between patients who underwent coronary angiography or percutaneous coronary intervention (PCI) versus those who were treated medically.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 117 patients were analysed. Of that, 79 patients were managed medically while 38 underwent early angiography, of which only 11 (9.5%) received PCI. Patients treated medically (did not undergo angiography) were older (74\u00b110 vs70\u00b18; p=0.05). ECG changes were the only independent predictor for early angiography (OR 0.4, 95% CI 0.15 to 0.99; p=0.05) while recurrent chest pain (OR 0.2, 95% CI 0.05 to 0.97; p=0.05) predicted PCI on multivariate analysis. The PCI group had higher Global Registry of Acute Cardiac Events (GRACE) score (176\u00b129 vs 150\u00b131; p=0.01). No significant difference was found in readmission rates, morbidity (unstable angina pectoris, NSTEMI, ST elevation myocardial infarction (STEMI), or combination) or mortality at 12\u2005months between the groups who underwent angiography, PCI, or treated medically on univariate and multivariate analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The opportunity to intervene in prior CABG patients presenting with NSTEMI is often low. Initial medical management may be a reasonable option in carefully selected patients particularly in the absence of ongoing symptoms, ECG changes or very high GRACE scores. Further studies are required to evaluate the safety of non-invasive strategies in managing this population.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/openhrt-2014-000059","type":"journal-article","created":{"date-parts":[[2014,6,13]],"date-time":"2014-06-13T20:37:52Z","timestamp":1402691872000},"page":"e000059","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Predictors and outcomes of early coronary angiography in patients with prior coronary artery bypass surgery presenting with non-ST elevation myocardial infarction"],"prefix":"10.1136","volume":"1","author":[{"given":"Muhammad","family":"Asrar ul Haq","sequence":"first","affiliation":[{"name":"Department of Cardiology, The Northern Hospital, Melbourne, Victoria, Australia"},{"name":"Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nima","family":"Rudd","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Northern Hospital, Melbourne, Victoria, Australia"},{"name":"Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mueed","family":"Mian","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Northern Hospital, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasia","family":"Castles","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Northern Hospital, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara","family":"Mogilevski","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Northern Hospital, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek","family":"Mutha","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Northern Hospital, Melbourne, Victoria, Australia"},{"name":"Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William J","family":"Van Gaal","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Northern Hospital, Melbourne, Victoria, Australia"},{"name":"Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,6,13]]},"reference":[{"key":"2025081710571000000_1.1.e000059.1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(96)00206-9"},{"key":"2025081710571000000_1.1.e000059.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2010.07.025"},{"key":"2025081710571000000_1.1.e000059.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)07349-3"},{"key":"2025081710571000000_1.1.e000059.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200106213442501"},{"key":"2025081710571000000_1.1.e000059.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)09894-X"},{"key":"2025081710571000000_1.1.e000059.6","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.2001.3081"},{"key":"2025081710571000000_1.1.e000059.7","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31826e1058"},{"key":"2025081710571000000_1.1.e000059.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)07595-5"},{"key":"2025081710571000000_1.1.e000059.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.06.009"},{"key":"2025081710571000000_1.1.e000059.10","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl471"}],"container-title":["Open Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/openhrt-2014-000059","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T17:57:18Z","timestamp":1755453438000},"score":1,"resource":{"primary":{"URL":"https:\/\/openheart.bmj.com\/lookup\/doi\/10.1136\/openhrt-2014-000059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2014,6,13]]},"published-print":{"date-parts":[[2014,6]]}},"alternative-id":["10.1136\/openhrt-2014-000059"],"URL":"https:\/\/doi.org\/10.1136\/openhrt-2014-000059","relation":{},"ISSN":["2053-3624"],"issn-type":[{"type":"electronic","value":"2053-3624"}],"subject":[],"published":{"date-parts":[[2014,6]]}}}