March 30, 2020New England Journal of Medicine
Managing Stable Ischemic Heart Disease
Why the study?
Does an invasive strategy improve outcomes compared to a conservative strategy in patients with stable ischemic heart disease?
Population
Patients with stable ischemic heart disease (chronic coronary syndrome)
Comparison
Invasive strategy vs Conservative strategy
Design
Editorial
Authors
Discussion
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Member takes
Implication
The optimal management strategy (invasive versus conservative) for stable ischemic heart disease remains an area of clinical equipoise.
Structured PICO
Does an invasive strategy improve outcomes compared to a conservative strategy in patients with stable ischemic heart disease?
P
Population
Patients with stable ischemic heart disease (chronic coronary syndrome)
I
Intervention
Invasive strategy (coronary angiography followed by percutaneous coronary intervention or coronary-artery bypass grafting added to guideline-based medical therapy)
C
Comparator
Conservative strategy (guideline-based medical therapy, including antianginal drugs, hypolipidemic, antithrombotic, and renin-angiotensin blocking therapies)
The optimal management strategy (invasive versus conservative) for stable ischemic heart disease remains an area of clinical equipoise.
Cite This Study
Antman et al. (2020) studied this question.