Open AccessCORONARY ARTERY STENOSIS: IS REVASCULARIZATION ALWAYS REASONABLE?
Author(s) -
Alexey S. Korotin,
Olga M. Posnenkova,
Anton R. Kiselev,
Ю. В. Попова,
Vladimir I. Gridnev
Publication year - 2019
Publication title -
kompleksnye problemy serdečno-sosudistyh zabolevanij
Language(s) - English
Resource type - Journals
eISSN - 2587-9537
pISSN - 2306-1278
DOI - 10.17802/2306-1278-2019-8-1-42-51
Subject(s) - medicine , conventional pci , cardiology , revascularization , coronary artery disease , percutaneous coronary intervention , angina , stenosis , asymptomatic , artery , myocardial infarction
Aim. To determine factors associated with percutaneous coronary intervention (PCI) and/ or coronary artery bypass grafting (CABG) in patients with stable coronary artery disease (CAD), who have no indications for myocardial revascularization. Methods. The data were collected using the Federal CAD Registry. Medical data of 1522 patients with CAD were reviewed. Of them, 326 patients (median age – 54.7±8.7 years; 73.0% – males) who had no indications for PCI and CABG according to 2013 ESC guidelines on stable CAD (ESC 2014) were analyzed. Results. 216 patients out of 326 (66%) patients received medical treatment. The rest 110 patients (34%) without any recommended indications underwent myocardial revascularization. Discriminate analysis determined coronary artery stenosis of >70% was the only factor reliably associated with the decision to perform myocardial revascularization in the absence of any indications (р 70% regardless of whether they have or do not have angina symptoms.