Critical analysis of the classic indications for myocardial revascularization

Rev Assoc Med Bras (1992). 2019 Mar;65(3):319-325. doi: 10.1590/1806-9282.65.3.319. Epub 2019 Apr 11.

Abstract

Treatment of stable coronary artery disease (CAD) relies on improved prognosis and relief of symptoms. National and international guidelines on CAD support the indication of revascularization in patients with limiting symptoms and refractory to optimal medical treatment, as well as in clinical situations where there is a prognostic benefit of interventional treatment. Most of the studies that support the guidelines for indication of revascularization date back to the 1980s and1990s of the last century. Recent studies have revisited the theme and brought a new breath. The present review provides a critical analysis of classic indications for revascularization, reviewing evidence from the studies of the 1970s to the recent controversial ORBITA study.

Trial registration: ClinicalTrials.gov NCT01471522.

Publication types

  • Review

MeSH terms

  • Clinical Decision-Making
  • Coronary Artery Disease / surgery*
  • Humans
  • Myocardial Revascularization / methods
  • Myocardial Revascularization / standards*
  • Prognosis
  • Risk Assessment
  • Risk Factors

Associated data

  • ClinicalTrials.gov/NCT01471522