A group of men and women with acute coronary syndrome did better if they received early angioplasty, according to a new study.

There has been controversy over the best way to treat acute coronary syndrome(ACS) - a condition where a heart attack is highly likely. Some researchers have said early intervention - in the form of anti-clotting drugs and angioplasty is essential, while others are not sure.

A new trial, covering 2,200 patients with ACS drawn from North America and Europe, now suggests that early intervention is important and works well in both women and men. Half the group received angioplasty and a platelet inhibitor, which would prevent clotting, and the rest had conventional care. All received treatments such as aspirin and heparin to prevent clotting.

The risk of death, heart attack or rehospitalization was reduced by 36 per cent in men and 28 per cent in women - a significant decrease in risk. The important point here is that women do as well as men in terms of clinical outcomes if they are offered early intervention for ACS.

Source

Journal of the American Medical Association 25th December 2002