New randomized trial results show no benefit in clinical outcomes from active surveillance using functional testing over usual care among high-risk patients with previous PCI. ESCCongress
the publication, Jacqueline E. Tamis‑Holland, MD, Icahn School of Medicine at Mount Sinai, Mount Sinai Morningside Hospital, New York, also agrees that this new result"builds on the findings" from the ISCHEMIA trial."Collectively, these trials highlight the lack of benefit of routine stress testing in asymptomatic patients," she writes.
Commenting on the results, B. Hadley Wilson, MD, executive vice chair of the Sanger Heart & Vascular Institute/Atrium Health, clinical professor of medicine at University of North Carolina School of Medicine, and vice president of the American College of Cardiology, said that for decades, it's been thought that patients who had high-risk PCI needed to be followed more closely for potential future events. theheart.
High-risk anatomical features included left main or bifurcation disease; restenotic or long, diffuse lesions; or bypass graft disease. High-risk clinical characteristics included diabetes mellitus, chronic kidney disease, or enzyme-positive acute coronary syndrome.
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