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January 9, 2009CirculationOpen Access

ACCF/SCAI/STS/AATS/AHA/ASNC 2009 Appropriateness Criteria for Coronary Revascularization

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Why the study?

In which clinical scenarios is coronary revascularization considered appropriate to improve health outcomes or survival?

Population

Patients in approximately 180 common clinical scenarios considering coronary revascularization, varying by…

Design

Guideline

Authors

MPManesh R. PatelGDGregory DehmerJHJohn W. Hirshfeld

Discussion

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Overview

Favors revascularization in ACS or symptomatic ischemia but not asymptomatic low-risk cases; reinforces evidence-based criteria and informs future trial design.

Structured PICO

In which clinical scenarios is coronary revascularization considered appropriate to improve health outcomes or survival?

P
Population
Patients in approximately 180 common clinical scenarios considering coronary revascularization, varying by symptom status, extent of medical therapy, risk level on noninvasive testing, and coronary anatomy
I
Intervention
Coronary revascularization (percutaneous coronary intervention [PCI] or coronary artery bypass graft surgery [CABG])
O
Outcome
Appropriateness score (scale of 1 to 9) indicating likelihood to improve health outcomes or survival

This document establishes appropriateness criteria for coronary revascularization, supporting its use in high-risk or symptomatic patients while discouraging it in low-risk, asymptomatic patients.

Cite This Study

Patel et al. (2009) studied this question.

synapsesocial.com/papers/6a9069a74ca7c096eec90eebhttps://doi.org/10.1161/circulationaha.108.191768
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