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Dual Goals for the Management of Stable Ischemic Heart Disease (SIHD)

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Presentation on theme: "Dual Goals for the Management of Stable Ischemic Heart Disease (SIHD)"— Presentation transcript:

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2 Dual Goals for the Management of Stable Ischemic Heart Disease (SIHD)

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5 Stable CAD Percutaneous Coronary Intervention (PCI) vs Medical Management Pre-COURAGE

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9 What Can Be Achieved With OMT in SIHD COURAGE Primary End Point

10 Are COURAGE Trial Patients Generalizable to Contemporary Clinical Practice?

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12 COURAGE Coronary Angiographic Outcomes

13 Need for Subsequent Revascularization 7 y of Follow-up*

14 COURAGE Primary End Point of Death and Nonfatal MI by Core Laboratory Angiographic Severity No Difference

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20 FAME 2 Trial Fractional Flow Reserve (FFR)-Guided PCI vs OMT in Stable Coronary Disease

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24 Summary Odds Ratios (ORs) (n = 23 Trials) Angina Relief Stratified by Duration of Follow-up and Recruitment Period

25 Outcomes in Combined Direct and Indirect Analysis of 61 Randomized Trials in Nonacute CAD, HR (95% CI) n = 25,388 patients

26 Review Article -- Initial Coronary Stent Implantation With MT vs MT Alone for Stable CAD Meta-analysis of Randomized Controlled Trials

27 Why PCI May Not Reduce Long-term Events in Stable CAD

28 2011 ACCF/AHA/SCAI PCI Guidelines

29 Conclusions 2014

30 Abbreviations

31 Abbreviations (cont)

32 References

33 References (cont)

34 References (cont)

35 References (cont)


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