Key result
Percutaneous coronary intervention complements medical therapy in chronic coronary syndromes by reducing angina, the risk of spontaneous myocardial infarctions, and the need for subsequent revascularization.
Why the study?
Diagnostic testing algorithms and treatment strategies for chronic coronary syndromes (CCS) have evolved, and results from several randomised controlled trials comparing invasive versus medical management have recently been reported.
Does invasive revascularization (PCI) improve outcomes and reduce angina compared to medical therapy alone in patients with chronic coronary syndromes?
Does invasive revascularization (PCI) improve outcomes and reduce angina compared to medical therapy alone in patients with chronic coronary syndromes?
In patients with chronic coronary syndromes, PCI effectively relieves angina and reduces spontaneous MI and future revascularization needs, but does not improve overall survival compared to optimal medical therapy.
May support PCI for angina relief in chronic coronary syndromes; leaves open survival impact pending prospective confirmation.
Chronic coronary syndromes (CCS) are associated with reduced quality of life, an increased risk of cardiovascular events and mortality, and substantial healthcare costs. Diagnostic testing algorithms and treatment strategies for this condition have evolved significantly. Importantly, the results of several randomised controlled trials assessing invasive versus medical management of patients with CCS have recently been reported. In this review, we examine the latest evidence on the diagnosis and treatment of patients with CCS, with a particular focus on the use of invasive strategies in these individuals.
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Pareek et al. (2024) conducted a review in Chronic coronary syndromes. Percutaneous coronary intervention (PCI) vs. Medical therapy was evaluated. Percutaneous coronary intervention complements medical therapy in chronic coronary syndromes by reducing angina, the risk of spontaneous myocardial infarctions, and the need for subsequent revascularization.
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