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Erschienen in: Cardiovascular Drugs and Therapy 5/2022

29.07.2021 | Invited Review Article

The Impact of the ISCHEMIA Trial on Clinical Practice: an Interventionist’s Perspective

verfasst von: Kreton Mavromatis, Anthony Gershlick

Erschienen in: Cardiovascular Drugs and Therapy | Ausgabe 5/2022

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Abstract

The International Study of Comparative Health Effectiveness with Medical and Invasive Approaches (ISCHEMIA) trial is the latest in a series of studies evaluating the role of coronary revascularization plus optimal medical therapy (invasive management) as compared to optimal medical therapy alone (conservative management) in the management of patients with stable ischemic heart disease. The “headline” results suggested invasive management did not reduce overall major adverse cardiac events in the intermediate term (~ 3.2 years), although it did sustainably reduce angina. In addition, invasive management reduced spontaneous myocardial infarction, with potentially important beneficial consequences on both long-term mortality and quality of life. This review puts the ISCHEMIA trial into historical context, explores the trial’s results and limitations and shows why revascularization remains an important adjunct to optimal medical therapy that should be considered by all patients with stable ischemic heart disease and the physicians who care for them.
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Metadaten
Titel
The Impact of the ISCHEMIA Trial on Clinical Practice: an Interventionist’s Perspective
verfasst von
Kreton Mavromatis
Anthony Gershlick
Publikationsdatum
29.07.2021
Verlag
Springer US
Erschienen in
Cardiovascular Drugs and Therapy / Ausgabe 5/2022
Print ISSN: 0920-3206
Elektronische ISSN: 1573-7241
DOI
https://doi.org/10.1007/s10557-021-07230-x

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