Cost-effectiveness of a conservative, ischaemia-guided management strategy after non-Q-wave myocardial infarction: results of a randomized trial

This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. The authors concluded that a conservative approach to coronary angiography with selective myocardial revascularisation in patients with non-Q wave myocardial infarction was more cost-effective than an invasive approach based on routine coronary angiography. In the conservative approach, costs were significantly lower and survival longer than the invasive approach.