Impact of the risk-treatment paradox on in-hospital and long-term outcomes in patients with very high-risk non-ST-elevation acute coronary syndrome
Abstract
Background and objectives The risk-treatment paradox (RTP) has not been studied in very high-risk patients with non-ST-elevation acute coronary syndrome (NSTE-ACS). We aimed to describe the cohort of very high-risk NSTE-ACS patients, analyse the impact of RTP on outcomes, and identify subgroups of patients who derive the greatest benefit from immediate invasive coronary angiography (ICA). Methods This retrospective analysis included 340 patients diagnosed with NSTE-ACS who met at least one of the established criteria for very high risk at admission. RTP was defined as any management tactic other than emergency (
Fields of Study & Subjects
Acute Myocardial Infarction Research
Coronary Interventions and Diagnostics
Mechanical Circulatory Support Devices
Publication details
- Journal / source
- The Indian Journal of Medical Research
- Publisher
- Scientific Scholar
- Volume
- 163
- Issue
- 1
- Pages
- 55–61
- Publication date
- 28 February 2026
- Language
- EN