2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease
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“Our thinking about this disease has evolved. With this new guideline, we have transitioned from arbitrarily picking and choosing individual therapies to recognizing there is a package of lifestyle modifications and medications—what we call guideline-directed medical therapy—that benefits most patients.”
“The writing committee has done a masterful job of imparting balance, emphasizing the importance of risk-factor identification, lifestyle intervention, and of treating intensively with respect to secondary prevention.”
“Overall, there is a misperception that somehow opening up and stenting an artery saves lives for patients with stable disease; however, in the majority of these cases, there is no evidence from any study that this procedure prolongs life.”
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Fihn et al. (2012) studied this question.