ISCHEMIA Trial and the Significance of MI

During the past decade, the treatment of choice for chronic coronary syndromes (CCS) has been a contentious issue. Whether revascularisation, either percutaneous or surgical, or optimal medical therapy, offers better prognosis in terms of mortality, MI, and symptom relief, has yet to be confirmed. T...

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Main Authors: Eduardo A Arias, Félix Damas-de los Santos, Heriberto Ontiveros-Mercado
Format: Article
Language:English
Published: Radcliffe Medical Media 2020-10-01
Series:Interventional Cardiology: Reviews, Research, Resources
Online Access:https://www.icrjournal.com/articles/ischemia-trial-and-the-significance-of-mi
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author Eduardo A Arias
Félix Damas-de los Santos
Heriberto Ontiveros-Mercado
author_facet Eduardo A Arias
Félix Damas-de los Santos
Heriberto Ontiveros-Mercado
author_sort Eduardo A Arias
collection DOAJ
description During the past decade, the treatment of choice for chronic coronary syndromes (CCS) has been a contentious issue. Whether revascularisation, either percutaneous or surgical, or optimal medical therapy, offers better prognosis in terms of mortality, MI, and symptom relief, has yet to be confirmed. The long-awaited and recently published International Study of Comparative Health Effectiveness with Medical and Invasive Approaches (ISCHEMIA) trial randomised more than 5,000 patients into a revascularisation plus optimal medical therapy group and an optimal medical therapy alone group. The authors analyse the trial, with particular emphasis on the incidence of MI. They propose a patient-centred approach to incorporate the results of the ISCHEMIA trial into daily practice and determine the best treatment strategy for patients with CCS.
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institution Kabale University
issn 1756-1477
1756-1485
language English
publishDate 2020-10-01
publisher Radcliffe Medical Media
record_format Article
series Interventional Cardiology: Reviews, Research, Resources
spelling doaj-art-27f8c08c55f44a4e92f157da82c56f8d2024-12-14T16:02:25ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852020-10-011510.15420/icr.2020.15ISCHEMIA Trial and the Significance of MIEduardo A Arias0Félix Damas-de los Santos1Heriberto Ontiveros-Mercado2Department of Interventional Cardiology, National Institute of Cardiology, Mexico City, Mexico; The American British Cowdray Medical Center, Mexico City, MexicoDepartment of Interventional Cardiology, National Institute of Cardiology, Mexico City, Mexico; The American British Cowdray Medical Center, Mexico City, MexicoThe American British Cowdray Medical Center, Mexico City, MexicoDuring the past decade, the treatment of choice for chronic coronary syndromes (CCS) has been a contentious issue. Whether revascularisation, either percutaneous or surgical, or optimal medical therapy, offers better prognosis in terms of mortality, MI, and symptom relief, has yet to be confirmed. The long-awaited and recently published International Study of Comparative Health Effectiveness with Medical and Invasive Approaches (ISCHEMIA) trial randomised more than 5,000 patients into a revascularisation plus optimal medical therapy group and an optimal medical therapy alone group. The authors analyse the trial, with particular emphasis on the incidence of MI. They propose a patient-centred approach to incorporate the results of the ISCHEMIA trial into daily practice and determine the best treatment strategy for patients with CCS.https://www.icrjournal.com/articles/ischemia-trial-and-the-significance-of-mi
spellingShingle Eduardo A Arias
Félix Damas-de los Santos
Heriberto Ontiveros-Mercado
ISCHEMIA Trial and the Significance of MI
Interventional Cardiology: Reviews, Research, Resources
title ISCHEMIA Trial and the Significance of MI
title_full ISCHEMIA Trial and the Significance of MI
title_fullStr ISCHEMIA Trial and the Significance of MI
title_full_unstemmed ISCHEMIA Trial and the Significance of MI
title_short ISCHEMIA Trial and the Significance of MI
title_sort ischemia trial and the significance of mi
url https://www.icrjournal.com/articles/ischemia-trial-and-the-significance-of-mi
work_keys_str_mv AT eduardoaarias ischemiatrialandthesignificanceofmi
AT felixdamasdelossantos ischemiatrialandthesignificanceofmi
AT heribertoontiverosmercado ischemiatrialandthesignificanceofmi