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- Title
To test or not to test for ischaemia routinely after percutaneous coronary intervention in diabetic patients: is the jury still out?
- Authors
Senior, Roxy; Khattar, Rajdeep S
- Abstract
The article discusses the lack of robust evidence regarding routine ischaemia testing in patients with diabetes mellitus following high-risk percutaneous coronary intervention (PCI). While real-world data suggest that surveillance with functional stress testing is widely performed after coronary revascularization, the findings demonstrate a low yield of myocardial ischaemia. The International Study of Comparative Health Effectiveness with Medical and Invasive Approaches (ISCHEMIA) trial and the Pragmatic Trial Comparing Symptom-Oriented vs. Routine Stress Testing in High-Risk Patients Undergoing Percutaneous Coronary Intervention (POST-PCI) trial both showed little benefit of ischaemia testing when on optimal medical therapy. The recent guidelines from the American Heart Association/American College of Cardiology (AHA/ACC) also do not recommend routine ischaemia or coronary anatomy assessment in patients with established chronic coronary syndromes.
- Subjects
PERCUTANEOUS coronary intervention; PEOPLE with diabetes; MYOCARDIAL infarction; ISCHEMIA; CARDIAC magnetic resonance imaging; JURY
- Publication
European Heart Journal, 2024, Vol 45, Issue 9, p666
- ISSN
0195-668X
- Publication type
Article
- DOI
10.1093/eurheartj/ehad877