František Kovář, Peter Krajčí, Peter Mečiar, Peter Kurray, Roman Alberty
The best treatment approach for ST segment elevation acute myocardial infarction (STEMI) is primary percutaneous coronary intervention (PCI). Unstable angina (UA) and non ST segment elevation myocardial infarction (NSTEMI) are heterogenous disorders with widely varying risks. Two different strategies may be used in treatment of these patients. The early invasive strategy with routinel coronary angiography and angiographically directed revascularization or conservative approach. Authors present their own experience with diagnosis and treatment of ACS, they advocate an early invasive strategy (all STEMI patients were treated with primary PCI, 86,9 % of NSTEMI/UA patients underwent early coronary angiography and subsequently 81,2 % of them coronary revascularization).