Optimal Medical Therapy Is a Proven Option for Chronic Stable Angina

• Published in: Journal of the American College of Cardiology Vol. 52; no. 11; pp. 905 - 907
• Main Author: O'Rourke, Robert A., MD, MACP, MACC, FAHA
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 09.09.2008; Elsevier Science; Elsevier Limited
• Subjects: Angina Pectoris - drug therapy; Angina Pectoris - therapy; Angioplasty, Balloon, Coronary; anti-anginal therapy; Biological and medical sciences; Cardiology; Cardiology. Vascular system; Cardiovascular; chronic stable angina; Coronary heart disease; Coronary vessels; Drug therapy; hard cardiovascular end points; Heart; Heart attacks; Humans; Internal Medicine; long-term follow-up; Medical sciences; Meta-analysis; Meta-Analysis as Topic; Mortality; PCI; Randomized Controlled Trials as Topic; chronic stable angina; hard cardiovascular end points; percutaneous coronary intervention; long-term follow-up; PCI; anti-anginal therapy; CABG; coronary artery bypass grafting; Medicine; Chronic; Treatment; Cardiovascular disease; Circulatory system; Angina pectoris; Cardiology; Coronary heart disease
• ISSN: 0735-1097; 1558-3597
• DOI: 10.1016/j.jacc.2008.06.015

Optimal Medical Therapy Is a Proven Option for Chronic Stable Angina Robert A. O'Rourke The authors of the meta-analysis conclude that a percutaneous coronary intervention (PCI)-based invasive strategy may improve long-term survival in patients with stable coronary artery disease, and that this justifies a new clinical trial sufficiently powered to evaluate the impact of PCI on long-term mortality. Based on the strength of the evidence, the author of this commentary recommends more aggressive medical therapy for patients with moderate to severe angina, and PCI or coronary artery bypass grafting for patients whose symptoms persist. Optimal medical therapy is a proven option for many patients with chronic stable angina.