Dr. Freek W.A. Verheugt said that most Dutch cardiologists never bought into the routine early invasive intervention strategy. Instead, they receive aggressive in-hospital therapy with a four-drug regimen consisting of clopidogrel, aspirin, a high-dose statin, and enoxaparin. Those who have recurrent ischemia despite this intensive medical management go to catheterization, explained Dr. Verheugt, professor and chairman of the department of cardiology at Radboud University Medical Center, Nijmegen, the Netherlands.
The results in men do not necessarily apply to women. Large-scale trials in women are needed, said Dr. Eva Swahn. Bruce Jancin/Elsevier Global Medical News