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- Title
Different Treatment Options in Chronic Coronary Artery Disease-When Is It the Time for Medical Treatment, Percutaneous Coronary Intervention or Aortocoronary Bypass Surgery?
- Authors
Ruß, Martin; Cremer, Jochen; Krian, Arno; Meinertz, Thomas; Werdan, Karl; Zerkowski, Hans-Reinhard
- Abstract
The article focuses on different treatment options in chronic coronary artery disease (CAD), including medical treatment, percutaneous coronary intervention (PCI) or aortocoronary bypass (ACB) surgery. It is stated that in acute coronary syndrome (ACS), the most important measures are swift diagnosis and revascularization, while in stable CAD the choice has to be made between revascularization and exclusively medical treatment. As mentioned, revascularization by PCI and ACB is superior to solely medical treatment for moderate to severe myocardial ischemia, when more than 10% of the myocardium is ischemic, but revascularization has no advantage when less than 10% of the myocardium is involved.
- Subjects
CORONARY heart disease treatment; CORONARY artery bypass; MYOCARDIAL revascularization; MYOCARDIUM; ISCHEMIA; HEART diseases; SURGERY; THERAPEUTICS; DIAGNOSIS
- Publication
Deutsches Ärzteblatt International, 2009, Vol 106, Issue 15, p1
- ISSN
1866-0452
- Publication type
Article