Long term follow up after deferral of revascularisation in patients with intermediate coronary stenoses and negative dobutamine stress echocardiography

• Published in: Heart (British Cardiac Society) Vol. 88; no. 6; pp. 645 - 646
• Main Authors: Giesler, T, Lamprecht, S, Voigt, J-U, Ropers, D, Pohle, K, Ludwig, J, Flachskampf, F A, Daniel, W G, Nixdorff, U
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and British Cardiovascular Society 01.12.2002; BMJ; BMJ Publishing Group LTD; Copyright 2002 by Heart
• Subjects: Angina pectoris; Angioplasty, Balloon, Coronary - methods; Biological and medical sciences; CABG; Cardiotonic Agents; Cardiovascular disease; Cardiovascular system; coronary artery bypass grafting; coronary stenosis; Coronary Stenosis - surgery; Coronary vessels; dobutamine stress echocardiography; Dopamine; DSE; Echocardiography, Stress - methods; Female; FFRmyo; Follow-Up Studies; fractional flow reserve; Heart attacks; Heart surgery; Humans; Intervention; Investigative techniques, diagnostic techniques (general aspects); Male; Medical imaging; Medical sciences; Middle Aged; Myocardial Revascularization - methods; percutaneous transluminal coronary angioplasty; Prognosis; PTCA; QCA; quantitative coronary angiography; Referral and Consultation - organization & administration; Scientific Letters; Time Factors; Ultrasonic investigative techniques; California; Sonography; Human; Pharmacologic test; Echocardiography; Prognosis; Treatment efficiency; Coronary artery; Dobutamine; Stenosis; Instrumentation therapy; Cardiovascular disease; Exploration; Coronary heart disease; Long term; Arterial disease; Vascular disease; Treatment; Surgery; Comparative study
• ISSN: 1355-6037; 1468-201X
• DOI: 10.1136/heart.88.6.645

RESULTS Three of 47 (6%) patients were excluded because of technically inadequate DSE. Because of positive DSE, coronary intervention was performed in 6/44 (14%) patients (Int group: 4 PTCA, 2 CABG). [...]the study is prospective but non-randomised and does therefore not provide comparative data from a control group. [...]to assess the approach of the present study, a large prospective and randomised study is highly desirable.