August 1, 2013Expert Review of Cardiovascular Therapy
Should ischemia be the main target in selecting a percutaneous coronary intervention strategy?
Why the study?
Does an ischemia-targeted percutaneous coronary intervention strategy improve symptoms and prognosis compared to anatomy-targeted revascularization in patients with coronary disease?
Population
Patients with coronary disease
Comparison
Ischemia-targeted percutaneous coronary… vs Revascularization therapy targeted at coronary…
Design
Review
Authors
Discussion
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Member takes
Implication
Ischemia-driven PCI may improve symptoms and prognosis over anatomy-guided strategies; leaves open confirmatory randomized trials.
Structured PICO
Does an ischemia-targeted percutaneous coronary intervention strategy improve symptoms and prognosis compared to anatomy-targeted revascularization in patients with coronary disease?
P
Population
Patients with coronary disease
I
Intervention
Ischemia-targeted percutaneous coronary intervention strategy
C
Comparator
Revascularization therapy targeted at coronary anatomy alone
O
Outcome
Clinical outcomes (symptoms and prognosis)
An ischemia-driven approach to PCI selection is proposed to improve symptomatic and prognostic outcomes compared to anatomy-guided strategies.
Cite This Study
Longman et al. (2013) studied this question.