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[Correspondence] Invasive strategy in acute coronary syndrome

We read with interest the After Eighty study by Nicolai Tegn and colleagues.1 In the invasive strategy group, 40 of the 229 patients did not have significant coronary artery disease. 180 of the 229 patients had one or more vessel disease, only 113 of whom underwent revascularisation (107 patients had percutaneous coronary intervention and six had a coronary artery bypass graft). We ask why 37% of patients (67 of 180 patients) did not receive revascularisation despite significant coronary artery disease in the setting of acute coronary syndrome.