Does Ischemia Burden in Stable Coronary Artery Disease Effectively Identify Revascularization Candidates?
نویسندگان
چکیده
Benefit of Revascularization in Patients With Stable Ischemic Heart Disease Is Controversial; A Better Method for Patient Selection Is Needed Over 30 years ago, a benefit of surgical revascularization was demonstrated in patients with stable ischemic heart disease (SIHD) but this was before most of our current disease-modifying medical therapies for coronary artery disease (CAD) were available. Analysis of these trials indicated that patients who derived the most benefit from surgery were those with more extensive CAD, particularly those with significant left main CAD or multivessel CAD, including proximal left anterior descending stenosis. After the introduction of percutaneous coronary intervention (PCI), studies were performed in the 1990s comparing PCI with contemporary medical therapy and found no benefit on death, myocardial infarction, or revascularization. It was at the time unclear whether this was because of the different revascularization technique or advances in medical therapy.
منابع مشابه
Does ischemia burden in stable coronary artery disease effectively identify revascularization candidates? Ischemia burden in stable coronary artery disease does not effectively identify revascularization candidates.
متن کامل
Does ischemia burden in stable coronary artery disease effectively identify revascularization candidates? Ischemia burden in stable coronary artery disease effectively identifies revascularization candidates.
متن کامل
ORIGINAL ARTICLE Ischemia burden on stress SPECT MPI predicts long-term outcomes after revascularization in stable coronary artery disease
Background. It is not entirely clear whether ischemia burden on stress single-photon emission computed tomography (SPECT) effectively identifies patients who have a long-term benefit from coronary revascularization. Methods. The study population consisted of 719 patients with ischemia on stress SPECT. Early coronary revascularization was defined as percutaneous coronary intervention or coronary...
متن کاملCirculation: Clinical Summaries
Increasing evidence suggests that global atherosclerotic disease burden and resultant ischemia, even absent obstructive epicardial lesions, are important contributors to overall cardiovascular risk, especially when functional outcomes such as cardiovascular death and heart failure are considered. Although luminal coronary angiography is a cornerstone of modern cardiovascular care, it is limited...
متن کاملResidual ischemia after revascularization in multivessel coronary artery disease: insights from measurement of absolute myocardial blood flow using magnetic resonance imaging compared with angiographic assessment.
BACKGROUND Revascularization strategies for multivessel coronary artery disease include percutaneous coronary intervention and coronary artery bypass grafting. In this study, we compared the completeness of revascularization as assessed by coronary angiography and by quantitative serial perfusion imaging using cardiovascular magnetic resonance. METHODS AND RESULTS Patients with multivessel co...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2015