Conservative management in a contemporary cohort of patients with acute coronary syndrome: Results from the FORCE-ACS registryConservative management in a contemporary cohort of patients with acute co

Conservative management in a contemporary cohort of patients with acute coronary syndrome: Results from the FORCE-ACS registry The study aimed to evaluate conservative management compared with revascularization therapy in ACS patients, focused on ischemic and bleeding outcomes and to provide insights into the physician’s rationale of choice for conservative management. Currently, the evidence for conservatively managed patients with the acute coronary syndrome (ACS) is scarce. A total of 5379 ACS patients were enrolled in the FORCE-ACS registry. Patients without coronary revascularization were identified and classified into three groups: patients where no coronary angiography (CAG) was performed, patients with documented obstructive coronary artery disease (CAD) on CAG, and patients with no documented obstructive CAD on CAG. The first two groups were established as conservatively managed ACS patients and were compared with those who received coronary revascularization. Talking about the results, a total of 5379 patients were admitted with ACS, 93.8% of them underwent CAG and 19.9% of the patients did not receive coronary revascularization. The most frequent reasons for choosing conservative management in ACS patients included multi-comorbidity, complex coronary anatomy, or a "watchful waiting" strategy. 84.5% conservatively treated patients received dual or triple antithrombotic therapy less often than the revascularized group, i.e 94.6% patients To conclude, conservatively managed patients are at higher mortality risk than revascularized patients. This heterogeneous group of conservatively managed patients less often received guideline-recommended therapy. Disclaimer: Lupin makes no representation or warranty of any kind, expressed or implied, regarding the accuracy, adequacy, validity, reliability, availability, or completeness of any scientific information shared by the HCP on the ­­­STAR UPDATE podcast. You should not allow the contents of this to substitute for your own medical judgment, which you should exercise in evaluating the information on this website.