Invasive investigations and revascularisation

Br Med Bull. 2001:59:45-53. doi: 10.1093/bmb/59.1.45.


Invasive investigation of coronary artery disease is relatively expensive, and carries risks including a mortality of approximately 1 in 2000. It would not be practical or appropriate to perform invasive investigation in all patients with a clinical diagnosis of coronary artery disease, still less in the large numbers with chest pain and possible angina. Clinicians will refer for invasive investigation those: (i) with a high level of angina, needing revascularisation on symptomatic grounds; and (ii) who are likely to have a poor prognosis with medical treatment, and thus likely to benefit from revascularisation. Not all of these patients will have a high level of symptoms.

Publication types

  • Review

MeSH terms

  • Angioplasty, Balloon, Coronary*
  • Cardiac Catheterization
  • Coronary Artery Bypass
  • Coronary Disease / diagnosis*
  • Coronary Disease / therapy*
  • Humans
  • Myocardial Revascularization*
  • Patient Selection
  • Risk Assessment