Patterns and Intensity of Medical Therapy in Patients Undergoing Percutaneous Coronary Intervention

Borden, William B.; Redberg, Rita F.; Mushlin, Alvin I.; Dai, David; Kaltenbach, Lisa A.; Spertus, John A.
May 2011
JAMA: Journal of the American Medical Association;5/11/2011, Vol. 305 Issue 18, p1882
Academic Journal
The article discusses a study of the use of optimal medical therapy (OMT) in patients with stable angina undergoing percutaneous coronary intervention (PCI) before and after publication of the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) study. The study involved patients in the National Cardiovascular Data Registry in the U.S. between September 1, 2005 and June 30, 2009. Majority of the patients who were receiving OMT before their PCI had more comorbidities. It cites the similarities in demographic and clinical characteristics of patients in the before and after COURAGE trial periods. Results show that almost a third of patients failed to receive OMT.


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