Myocardial Viability and Survival in Ischemic Left Ventricular Dysfunction

Patients with CAD and LV dysfunction were assigned to receive either medical therapy alone or medical therapy plus CABG. There was no evidence of significant interaction between myocardial viability and treatment assignment. Coronary artery disease is an important contributor to the rise in the prev...

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Veröffentlicht in:The New England journal of medicine 2011-04, Vol.364 (17), p.1617-1625
Hauptverfasser: Bonow, Robert O, Maurer, Gerald, Lee, Kerry L, Holly, Thomas A, Binkley, Philip F, Desvigne-Nickens, Patrice, Drozdz, Jaroslaw, Farsky, Pedro S, Feldman, Arthur M, Doenst, Torsten, Michler, Robert E, Berman, Daniel S, Nicolau, Jose C, Pellikka, Patricia A, Wrobel, Krzysztof, Alotti, Nasri, Asch, Federico M, Favaloro, Liliana E, She, Lilin, Velazquez, Eric J, Jones, Robert H, Panza, Julio A
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container_end_page 1625
container_issue 17
container_start_page 1617
container_title The New England journal of medicine
container_volume 364
creator Bonow, Robert O
Maurer, Gerald
Lee, Kerry L
Holly, Thomas A
Binkley, Philip F
Desvigne-Nickens, Patrice
Drozdz, Jaroslaw
Farsky, Pedro S
Feldman, Arthur M
Doenst, Torsten
Michler, Robert E
Berman, Daniel S
Nicolau, Jose C
Pellikka, Patricia A
Wrobel, Krzysztof
Alotti, Nasri
Asch, Federico M
Favaloro, Liliana E
She, Lilin
Velazquez, Eric J
Jones, Robert H
Panza, Julio A
description Patients with CAD and LV dysfunction were assigned to receive either medical therapy alone or medical therapy plus CABG. There was no evidence of significant interaction between myocardial viability and treatment assignment. Coronary artery disease is an important contributor to the rise in the prevalence of heart failure and in associated mortality and morbidity. 1 – 4 It has not been clearly established whether coronary-artery bypass grafting (CABG) has a role in improving the symptoms and the rate of survival of patients with coronary artery disease and heart failure. We conducted the multicenter Surgical Treatment for Ischemic Heart Failure (STICH) trial 5 , 6 to examine two hypotheses, one of which (hypothesis 1) compared the efficacy of medical therapy alone with that of medical therapy plus CABG in patients with coronary artery disease and left ventricular . . .
doi_str_mv 10.1056/NEJMoa1100358
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subjects Aged
Cardiovascular disease
Cardiovascular Diseases - mortality
Combined Modality Therapy
Coronary Artery Bypass
Coronary Artery Disease - complications
Coronary Artery Disease - drug therapy
Coronary Artery Disease - surgery
Coronary vessels
Echocardiography, Stress
Female
Follow-Up Studies
Heart attacks
Heart Failure - drug therapy
Heart Failure - etiology
Heart Failure - surgery
Humans
Hypotheses
Kaplan-Meier Estimate
Male
Middle Aged
Myocardial Ischemia
Myocardium - pathology
Patients
Proportional Hazards Models
Statistics, Nonparametric
Studies
Tomography, Emission-Computed, Single-Photon
Ventricular Dysfunction, Left - drug therapy
Ventricular Dysfunction, Left - etiology
Ventricular Dysfunction, Left - surgery
title Myocardial Viability and Survival in Ischemic Left Ventricular Dysfunction
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