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Widening coronary arteries right away after a heart attack: Study shows immediate treatment has advantages

Widening coronary arteries right away after a heart attack: Study shows immediate treatment has advantages
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European Society Of Cardiology , Senior Attending Physician , University Hospital Zurich , European Society , New England Journal , Complete Revascularization , Myocardial Infarction ,

Complete Revascularization Analysis of ISCHEMIA Opens 'Pandora's Box'


May 18, 2021
Patients with stable coronary artery disease who received “complete” revascularization in the ISCHEMIA trial appear to have derived more clinical benefit with the invasive strategy than medical therapy over follow-up, a finding at odds with what was observed for the overall trial. The implication, say investigators, is that revascularization might offer clinical advantages over conservative medical therapy if all anatomically relevant lesions are treated.
This analysis, which focused only on the patients who had complete revascularization defined anatomically, showed that the primary composite endpoint occurred in 11.9% of patients treated invasively as opposed to 15.4% of patients who were treated medically. ....

New York , United States , Kevin Bainey , William Boden , Kreton Mavromatis , Brahmajee Nallamothu , Md University Of Michigan , Md Mazankowski Alberta Heart Institute , Md Saint Louis University School Of Medicine , American College Of Cardiology , Md Emory University School Of Medicine , Cardiovascular Research Foundation , Gregg Stone , Icahn School , Mount Sinai , American College , Boston University School , England Healthcare System , Mazankowski Alberta Heart Institute , New England Journal , Complete Revascularization , Covariate Adjusted Cox Model , Bernard Chaitman , Saint Louis University School , Emory University School , Seattle Angina Questionnaire ,