151
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Torosoff MT, Sidhu MS, Desai KP, Fein SA, Boden WE. Revascularization options in stable coronary artery disease: it is not how to revascularize, it is whether and when to revascularize. J Comp Eff Res 2015; 4:505-14. [PMID: 26387530 DOI: 10.2217/cer.15.37] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Patients with acute coronary syndromes and severe multivessel or left main coronary artery disease have better outcomes when prompt revascularization is performed in addition to optimal medical therapy (OMT). However, in patients with stable ischemic heart disease, randomized strategy trials have revealed equipoise between initial strategies of OMT alone and OMT plus revascularization. Conducted in diverse stable ischemic heart disease patient populations and throughout the spectrum of atherosclerotic and ischemic burden, the RITA-2, MASS II, COURAGE, BARI 2D and FAME 2 trials demonstrate that OMT alone and OMT plus revascularization yield similar outcomes with respect to mortality and myocardial infarction. What remains unclear is whether there may be one or more subsets of patients with stable ischemic heart disease in whom revascularization may be associated with a reduction in mortality or myocardial infarction, which is to be addressed in the ongoing ISCHEMIA trial.
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Affiliation(s)
- Mikhail T Torosoff
- Division of Cardiology, Department of Medicine, Albany Medical Center, Albany, NY, USA.,Albany Medical College, Albany, NY, USA
| | - Mandeep S Sidhu
- Division of Cardiology, Department of Medicine, Albany Medical Center, Albany, NY, USA.,Albany Medical College, Albany, NY, USA.,Samuel S Stratton VA Medical Center, 113 Holland Street, Albany, NY, USA
| | - Karan P Desai
- Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA
| | - Steven A Fein
- Division of Cardiology, Department of Medicine, Albany Medical Center, Albany, NY, USA.,Albany Medical College, Albany, NY, USA
| | - William E Boden
- Division of Cardiology, Department of Medicine, Albany Medical Center, Albany, NY, USA.,Albany Medical College, Albany, NY, USA.,Samuel S Stratton VA Medical Center, 113 Holland Street, Albany, NY, USA
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152
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Multiple arterial grafting: Stay the course. J Thorac Cardiovasc Surg 2015; 150:452-3. [DOI: 10.1016/j.jtcvs.2015.06.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2015] [Accepted: 06/05/2015] [Indexed: 11/20/2022]
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153
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Maron DJ, Boden WE. Why Optimal Medical Therapy Should Be a Universal Standard of Care. J Am Coll Cardiol 2015; 66:774-776. [PMID: 26271058 DOI: 10.1016/j.jacc.2015.06.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2015] [Accepted: 06/09/2015] [Indexed: 11/16/2022]
Affiliation(s)
- David J Maron
- Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California.
| | - William E Boden
- Department of Medicine, Samuel S. Stratton VA Medical Center, Albany Medical Center, and Albany Medical College, Albany, New York
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154
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Taggart DP. Off-pump coronary artery bypass graft in patients with type 2 diabetes: pushing the Bypass Angioplasty Revascularization Investigation Type 2 Diabetes trial too far. Eur J Cardiothorac Surg 2015; 49:416-8. [DOI: 10.1093/ejcts/ezv215] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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155
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Sidhu MS, Boden WE. The continued importance of optimal medical therapy with or without revascularization in diabetic patients with coronary artery disease. Trends Cardiovasc Med 2015; 25:632-4. [PMID: 25957809 DOI: 10.1016/j.tcm.2015.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2015] [Accepted: 04/03/2015] [Indexed: 11/25/2022]
Affiliation(s)
- Mandeep S Sidhu
- Division of Cardiology, Department of Medicine, Albany Medical College, Albany, NY; Division of Cardiology, Department of Medicine, Albany Stratton VA Medical Center, Albany, NY.
| | - William E Boden
- Division of Cardiology, Department of Medicine, Albany Medical College, Albany, NY; Division of Cardiology, Department of Medicine, Albany Stratton VA Medical Center, Albany, NY
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156
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Rymer JA, Newby LK. Back to the future: improving the use of guidelines-recommended coronary disease secondary prevention at the dawn of the precision medicine era. Circulation 2015; 131:1234-5. [PMID: 25847978 DOI: 10.1161/circulationaha.115.015707] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Jennifer A Rymer
- From Division of Cardiology, Department of Medicine (J.A.R., L.K.N.) and Duke Clinical Research Institute (L.K.N.), Duke University Medical Center, Durham, NC
| | - L Kristin Newby
- From Division of Cardiology, Department of Medicine (J.A.R., L.K.N.) and Duke Clinical Research Institute (L.K.N.), Duke University Medical Center, Durham, NC.
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