Prophylactic coronary artery revascularization before elective vascular surgery did not improve long-term survival

Weed, Harrison G.; Devereaux, P.J.; Cinà, Claudio S.; Málaga, G.; McFalls, Edward
November 2005
ACP Journal Club;Nov/Dec2005, Vol. 143 Issue 3, pA12
Academic Journal
This article presents letters to the editor on topics related to medicine research. A reader says that he thinks that the commentary "The Coronary Artery Revascularization Prophylaxis (CARP) Trial" did not adequately emphasize essential aspects of the trial. First, 80% of the patients evaluated for the study were excluded. Second, patients received appropriate antiangina treatment. The authors of the study respond that of the ineligible patients, 61% were excluded because coronary artery angiography failed to show hemodynamically significant coronary artery disease, clinical variables or noninvasive cardiac testing did not suggest hemodynamically significant coronary artery disease, or coronary artery disease was not considered amenable to successful revascularization.


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