Conservative strategy for treatment of stable coronary artery disease
- PMID: 25685763
- PMCID: PMC4317610
- DOI: 10.12998/wjcc.v3.i2.163
Conservative strategy for treatment of stable coronary artery disease
Abstract
Patients with coronary artery disease vary widely in terms of prognosis, which is mainly dependent on ventricular function. In relation to the major outcomes of death and myocardial infarction, it is not clear in the literature if an invasive strategy of myocardial revascularization is superior to a conservative strategy of optimized medical therapy. Moreover, with the exception of patients with left main coronary disease, this similarity in prognosis also occurs in different subgroups of patients.
Keywords: Angina pectoris; Coronary angioplasty; Coronary artery disease; Disease-free survival; Myocardial infarction; Myocardial revascularization; Prognosis.
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References
-
- Hueb W, Bellotti G, Ramires JA, Lemos da Luz P, Pileggi F. Two- to eight-year survival rates in patients who refused coronary artery bypass grafting. Am J Cardiol. 1989;63:155–159. - PubMed
-
- CASS Principal Investigators and their Associates. Coronary artery surgery study (CASS): a randomized trial of coronary artery bypass surgery. Survival data. Circulation. 1983;68:939–950. - PubMed
-
- Alderman EL, Bourassa MG, Cohen LS, Davis KB, Kaiser GG, Killip T, Mock MB, Pettinger M, Robertson TL. Ten-year follow-up of survival and myocardial infarction in the randomized Coronary Artery Surgery Study. Circulation. 1990;82:1629–1646. - PubMed
-
- Hueb WA, Bellotti G, de Oliveira SA, Arie S, de Albuquerque CP, Jatene AD, Pileggi F. The Medicine, Angioplasty or Surgery Study (MASS): a prospective, randomized trial of medical therapy, balloon angioplasty or bypass surgery for single proximal left anterior descending artery stenoses. J Am Coll Cardiol. 1995;26:1600–1605. - PubMed
-
- Parisi AF, Folland ED, Hartigan P. A comparison of angioplasty with medical therapy in the treatment of single-vessel coronary artery disease. Veterans Affairs ACME Investigators. N Engl J Med. 1992;326:10–16. - PubMed
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