7. Myocardial revascularisation strategy

Initial invasive or conservative strategy for stable coronary disease

ISCHEMIA
Objective
to compare an invasive strategy (angiography +/- revascularisation + OMT) versus a conservative strategy (OMT)
Study
prospective, multicentre, assessor-blinded, randomised trial
Population
patients with stable CAD + moderate-to-severe ischaemia
Endpoints
composite of death from cardiovascular causes, MI, or hospitalisation for unstable angina, heart failure, or resuscitate cardiac arrest
Conclusion
Invasive strategy comprising angiography and revascularisation and OMT was not superior to OMT alone in reducing adverse outcome events OMT to 5 years
Maron et al. N Eng J Med. 2020;382:1395-407
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The Official Journal of EuroPCR and the European Association of Percutaneous Cardiovascular Interventions (EAPCI)

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2023 Journal Citation Reports®
Science Edition (Clarivate Analytics, 2024)
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