Percutaneous transluminal coronary angioplasty improved long-term angina status more than medical therapy in coronary artery disease

Berger, Peter B.
September 2004
ACP Journal Club;Sep/Oct2004, Vol. 141 Issue 2, p34
Academic Journal
This article discusses the medical outcome of coronary angioplasty versus medical therapy. Researchers investigated 1018 patients greater than 18 years of age (median age 58 y, 82% men) with arteriographically proven coronary artery disease who were considered suitable for either Percutaneous Transaluminal Coronary Angioplasty (PTCA) or medical therapy. Exclusion criteria were previous myocardial revascularization, left main stem disease, recent acute coronary syndrome, hemodynamically significant valve disease, life-threatening noncardiac disease, or need for revascularization. Patients in the PTCA and conservative medical therapy groups did not differ for rates of the composite endpoint of death or definite nonfatal myocardial infarction.


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