Contemporary management of stable coronary Artery disease - Implications of the ISCHEMIA trial

Shun Kohsaka, Kenji Fukushima, Ippei Watanabe, Susumu Manabe, Nozomi Niimi, Yodo Gatate, Mitsuaki Sawano, Shintaro Nakano

研究成果: Review article査読

抄録

Coronary artery disease (CAD) remains a leading cause of mortality and morbidity in developed countries. Although urgent revascularization is the cornerstone of management of acute coronary syndrome (ACS), for patients with stable CAD recent large-scale clinical trials indicate that a mechanical 'fix' of a narrowed artery is not obviously beneficial; ACS and stable CAD are increasingly recognized as different clinical entities. We review the perspectives on (1) modifying the diagnostic pathway of stable CAD with the incorporation of modern estimates of pretest probability, (2) non-imaging evaluations based on their availability, (3) the optimal timing of invasive coronary angiography and revascularization, and (4) the implementation of medical therapy during the work-up.

本文言語English
ページ(範囲)1919-1927
ページ数9
ジャーナルCirculation Journal
85
11
DOI
出版ステータスPublished - 2021

ASJC Scopus subject areas

  • 循環器および心血管医学

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