دورية أكاديمية
A Narrative Review of Revascularization in Chronic Coronary Syndrome/Disease: Concepts and Misconceptions.
العنوان: | A Narrative Review of Revascularization in Chronic Coronary Syndrome/Disease: Concepts and Misconceptions. |
---|---|
المؤلفون: | Nogueira-Garcia B; Serviço de Cardiologia, Departamento de Coração e Vasos, CHULN Hospital de Santa Maria, 1649-028 Lisbon, Portugal.; Centro Cardiovascular da Universidade de Lisboa (CCUL@RISE), Faculdade de Medicina, Universidade de Lisboa, 1049-001 Lisbon, Portugal., Vilela M; Serviço de Cardiologia, Departamento de Coração e Vasos, CHULN Hospital de Santa Maria, 1649-028 Lisbon, Portugal., Oliveira C; Serviço de Cardiologia, Departamento de Coração e Vasos, CHULN Hospital de Santa Maria, 1649-028 Lisbon, Portugal., Caldeira D; Serviço de Cardiologia, Departamento de Coração e Vasos, CHULN Hospital de Santa Maria, 1649-028 Lisbon, Portugal.; Centro Cardiovascular da Universidade de Lisboa (CCUL@RISE), Faculdade de Medicina, Universidade de Lisboa, 1049-001 Lisbon, Portugal.; Laboratório de Farmacologia Clínica e Terapêutica, Faculdade de Medicina, Universidade de Lisboa, 1049-001 Lisbon, Portugal.; Faculdade de Medicina, Centro de Estudos de Medicina Baseada na Evidência (CEMBE), 1649-028 Lisbon, Portugal., Martins AM; Serviço de Cardiologia, Departamento de Coração e Vasos, CHULN Hospital de Santa Maria, 1649-028 Lisbon, Portugal., Nobre Menezes M; Serviço de Cardiologia, Departamento de Coração e Vasos, CHULN Hospital de Santa Maria, 1649-028 Lisbon, Portugal.; Centro Cardiovascular da Universidade de Lisboa (CCUL@RISE), Faculdade de Medicina, Universidade de Lisboa, 1049-001 Lisbon, Portugal. |
المصدر: | Journal of personalized medicine [J Pers Med] 2024 May 10; Vol. 14 (5). Date of Electronic Publication: 2024 May 10. |
نوع المنشور: | Journal Article; Review |
اللغة: | English |
بيانات الدورية: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101602269 Publication Model: Electronic Cited Medium: Print ISSN: 2075-4426 (Print) Linking ISSN: 20754426 NLM ISO Abbreviation: J Pers Med Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Basel, Switzerland : MDPI AG, 2011- |
مستخلص: | Ischemic heart disease represents a significant global burden of morbidity and mortality. While revascularization strategies are well defined in acute settings, there are uncertainties regarding chronic coronary artery disease treatment. Recent trials have raised doubts about the necessity of revascularization for "stable", chronic coronary syndromes or disease, leading to a shift towards a more conservative approach. However, the issue remains far from settled. In this narrative review, we offer a summary of the most pertinent evidence regarding revascularization for chronic coronary disease, while reflecting on less-often-discussed details of major clinical trials. The cumulative evidence available indicates that there can be a prognostic benefit from revascularization in chronic coronary syndrome patients, provided there is significant ischemia, as demonstrated by either imaging or coronary physiology. Trials that have effectively met this criterion consistently demonstrate a reduction in rates of spontaneous myocardial infarction, which holds both prognostic and clinical significance. The prognostic benefit of revascularization in patients with heart failure with reduced ejection fraction remains especially problematic, with a single contemporary trial favouring surgical revascularization. The very recent publication of a trial focused on revascularizing non-flow-limiting "vulnerable" plaques adds further complexity to the field. The ongoing debates surrounding revascularization in chronic coronary syndromes emphasize the importance of personalized strategies. Revascularization, added to the foundational pillar of medical therapy, should be considered, taking into account symptoms, patient preferences, coronary anatomy and physiology, ischemia tests and intra-coronary imaging. |
References: | Circulation. 2021 Aug 17;144(7):512-523. (PMID: 34261331) N Engl J Med. 2020 Apr 23;382(17):1608-1618. (PMID: 32227756) N Engl J Med. 2023 Dec 21;389(25):2319-2330. (PMID: 38015442) Open Heart. 2016 Nov 17;3(2):e000455. (PMID: 27933192) Cardiovasc Revasc Med. 2021 Feb;23:42-49. (PMID: 32723603) Curr Atheroscler Rep. 2019 Nov 25;21(12):54. (PMID: 31768641) N Engl J Med. 2018 Jul 19;379(3):250-259. (PMID: 29785878) JAMA Cardiol. 2023 Nov 1;8(11):1013-1021. (PMID: 37703036) Am Heart J. 2012 Aug;164(2):243-50. (PMID: 22877811) Am J Cardiol. 2015 Nov 15;116(10):1509-15. (PMID: 26410604) Ann Thorac Surg. 1968 May;5(5):443-50. (PMID: 5647933) Circ Arrhythm Electrophysiol. 2019 May 22;12(6):e007247. (PMID: 31693319) Lancet. 2018 Nov 10;392(10159):1736-1788. (PMID: 30496103) Eur Heart J. 2022 Feb 22;43(8):716-799. (PMID: 35016208) Lancet. 2015 Aug 15;386(9994):665-71. (PMID: 26347918) Circulation. 2007 Sep 25;116(13):f77-8. (PMID: 17896419) J Am Heart Assoc. 2021 Oct 19;10(20):e018828. (PMID: 34622669) Lancet. 2024 Mar 2;403(10429):824-837. (PMID: 38401549) N Engl J Med. 2012 Dec 20;367(25):2375-84. (PMID: 23121323) Lancet. 2021 Dec 11;398(10317):2149-2159. (PMID: 34742368) JAMA Cardiol. 2023 Dec 1;8(12):1154-1161. (PMID: 37878295) N Engl J Med. 2009 Jun 11;360(24):2503-15. (PMID: 19502645) J Am Coll Cardiol. 2015 Mar 17;65(10):963-72. (PMID: 25766941) N Engl J Med. 2024 Apr 25;390(16):1481-1492. (PMID: 38587995) N Engl J Med. 2015 Nov 12;373(20):1937-46. (PMID: 26559572) J Am Coll Cardiol. 2002 Apr 3;39(7):1151-8. (PMID: 11923039) Lancet. 1994 Aug 27;344(8922):563-70. (PMID: 7914958) Mod Concepts Cardiovasc Dis. 1962 Jul;31:735-8. (PMID: 13915182) JAMA Intern Med. 2018 Feb 1;178(2):239-247. (PMID: 29340571) Eur Heart J Suppl. 2023 Apr 21;25(Suppl B):B34-B36. (PMID: 37091658) Herz. 2023 Oct;48(5):376-383. (PMID: 36629881) Eur Heart J. 2019 Jan 7;40(2):87-165. (PMID: 30165437) N Engl J Med. 2011 Apr 28;364(17):1607-16. (PMID: 21463150) Nat Rev Cardiol. 2023 Mar;20(3):181-196. (PMID: 36151312) N Engl J Med. 1979 Jul 12;301(2):61-8. (PMID: 449946) N Engl J Med. 2022 Oct 13;387(15):1351-1360. (PMID: 36027563) Chest. 1971 Dec;60(6):522-30. (PMID: 5001606) N Engl J Med. 2016 Apr 21;374(16):1511-20. (PMID: 27040723) N Engl J Med. 2020 Apr 9;382(15):1395-1407. (PMID: 32227755) J Am Coll Cardiol. 1990 Jul;16(1):108-13. (PMID: 2358583) N Engl J Med. 2009 Jan 15;360(3):213-24. (PMID: 19144937) Eur Heart J. 2021 Dec 1;42(45):4671-4679. (PMID: 34345911) Circulation. 2004 Dec 21;110(25):3789-94. (PMID: 15596563) N Engl J Med. 2019 Oct 10;381(15):1411-1421. (PMID: 31475795) N Engl J Med. 2017 Mar 30;376(13):1234-1244. (PMID: 28317428) JAMA Cardiol. 2020 Aug 1;5(8):881-888. (PMID: 32432651) N Engl J Med. 2021 Jul 22;385(4):297-308. (PMID: 33999545) J Am Coll Cardiol. 2019 Oct 8;74(14):1772-1784. (PMID: 31582137) Am Heart J. 2023 Oct;264:83-96. (PMID: 37271356) N Engl J Med. 2007 Apr 12;356(15):1503-16. (PMID: 17387127) Circulation. 2019 Dec 10;140(24):1971-1980. (PMID: 31707827) J Am Heart Assoc. 2022 Aug 2;11(15):e024818. (PMID: 35876409) Eur Heart J. 2020 Jan 14;41(3):407-477. (PMID: 31504439) Circulation. 2001 Jun 19;103(24):2928-34. (PMID: 11413082) Circulation. 2022 Jan 18;145(3):e18-e114. (PMID: 34882435) Am J Cardiol. 2002 Aug 1;90(3):210-5. (PMID: 12127605) JACC Heart Fail. 2018 Jun;6(6):517-526. (PMID: 29852933) N Engl J Med. 2009 Mar 5;360(10):961-72. (PMID: 19228612) Circulation. 2023 Aug 29;148(9):e9-e119. (PMID: 37471501) Circulation. 2021 Feb 23;143(8):790-804. (PMID: 33267610) N Engl J Med. 2013 Sep 19;369(12):1115-23. (PMID: 23991625) Catheter Cardiovasc Interv. 2023 Oct;102(4):631-640. (PMID: 37579212) Lancet. 2024 May 4;403(10438):1753-1765. (PMID: 38604213) Eur Heart J. 2022 Sep 1;43(33):3132-3145. (PMID: 35639660) N Engl J Med. 2012 Sep 13;367(11):991-1001. (PMID: 22924638) |
فهرسة مساهمة: | Keywords: chronic coronary artery disease; chronic coronary artery syndrome; coronary artery bypass surgery; percutaneous coronary intervention; personalized medicine |
تواريخ الأحداث: | Date Created: 20240525 Latest Revision: 20240527 |
رمز التحديث: | 20240527 |
مُعرف محوري في PubMed: | PMC11122013 |
DOI: | 10.3390/jpm14050506 |
PMID: | 38793088 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2075-4426 |
---|---|
DOI: | 10.3390/jpm14050506 |