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In the management of coronary artery disease, trepidation associated with the risk of future myocardial infarction weighs heavily on the minds of patients and physicians alike, given the well-recognised and often publicly highlighted association with premature cardiovascular mortality. In the context of high-risk acute coronary syndromes, the practice of early invasive coronary angiography with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) is a Level IA (Grading of Recommendations Assessment, Development and Evaluation [GRADE]: Strong) indication for the reduction of recurrent myocardial infarction and cardiovascular mortality.

For the prevention of premature cardiovascular death, the effective management of plaque burden should remain at the forefront of the clinician's and patient's minds, requiring us all to think beyond the coronary lesion alone.

This MJA perspective shares more.

Learning Outcomes

1. Explain key components of the perspective
2. List main findings
3. Recognise the significance of the perspective.

Details

Authors: Derek P Chew and Sarah Zaman

Article Type: Perspective