Key result
Coronary revascularization (PCI or CABG) was associated with significantly better health status scores on the Seattle Angina Questionnaire at 4 years compared to medical therapy across all age groups.
Why the study?
Does coronary revascularization improve health status compared to medical therapy in elderly patients with cardiac disease?
Population
11,262 surviving, consenting patients with cardiac disease undergoing cardiac catheterization in Alberta…
Comparison
Percutaneous coronary intervention or coronary… vs Medical therapy
Design
Cohort
Follow-up
4 years
Authors
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May support not withholding revascularization by age alone; leaves open causal confirmation in randomized trials.
Cohort (n=11,262)
Yes
Does coronary revascularization improve health status compared to medical therapy in elderly patients with cardiac disease?
Coronary revascularization is associated with better long-term health status and quality of life compared to medical therapy in elderly patients, suggesting age alone should not preclude revascularization.
Michael M. Graham (2006) conducted a cohort in Cardiac disease (n=11,262). Coronary revascularization (PCI or CABG) vs. Medical therapy was evaluated on Health status measured using the Seattle Angina Questionnaire (SAQ). Coronary revascularization (PCI or CABG) was associated with significantly better health status scores on the Seattle Angina Questionnaire at 4 years compared to medical therapy across all age groups.
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