Evaluation of the stable coronary artery disease patient: Anatomy trumps physiology

被引:2
作者
Desai, Karan P. [1 ]
Sidhu, Mandeep S. [1 ,2 ,3 ]
Boden, William E. [1 ,2 ,3 ]
机构
[1] Albany Med Coll, Albany, NY 12208 USA
[2] Albany Med Ctr, Dept Med, Div Cardiol, Albany, NY 12208 USA
[3] Albany Stratton VA Med Ctr, Albany, NY 12208 USA
关键词
OUTCOMES UTILIZING REVASCULARIZATION; OPTIMAL MEDICAL THERAPY; LEFT-VENTRICULAR FUNCTION; FRACTIONAL FLOW RESERVE; HEART-DISEASE; PROGNOSTIC VALUE; CARDIOVASCULAR EVENTS; RESIDUAL RISK; TERM SURVIVAL; ISCHEMIA;
D O I
10.1016/j.tcm.2014.08.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The past decade has been associated with profound progress in both the assessment and treatment of stable ischemic heart disease (SIHD) patients. The many randomized clinical trials, observational studies, and post hoc analyses continue to elucidate the role of coronary anatomy and ischemic burden in treating our patients in routine clinical practice, with the preponderance of the current scientific evidence base suggesting that coronary anatomy does indeed trump physiology in predicting future coronary events in SIHD patients. However, the many clinical studies and post hoc analyses, while provocative, are relatively underpowered; therefore, an important question remains as to whether anatomic burden or ischemic burden can most reliably identify patients who would derive clinical benefits from an initial invasive strategy, regardless of prognostic value. Published by Elsevier Inc.
引用
收藏
页码:332 / 340
页数:9
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