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In highest-risk pts (Table 120-1), an early invasive strategy (coronary arteriography within ~48 h followed by percutaneous intervention or CABG) improves outcomes. In lower-risk pts, angiography can be deferred but should be pursued if myocardial ischemia recurs spontaneously (angina or ST deviations at rest or with minimal activity) or is provoked by stress testing.

Outline

Section 8. Cardiology