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ESC Guidelines of Myocardial Revascularization ... - cardioegypt2011

ESC Guidelines of Myocardial Revascularization ... - cardioegypt2011

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I. Revascularization in Stable CADR&M Solutionswww.rmsolutions.net

Evidence Bases For Method of Revasularizationin Stable CAD• The COURAGE RCT: (2287 Pt.)- Compared OMT alone Vs OMT + PCI at 4.6Y,- No significant difference in death, MI, stroke or UA.- However only 30% have 3-v disease, 31% had proximalLAD,- LM was excluded & most had normal LV function• CABGE Vs OMT : 7 RCT- CABG is better severe symptoms, +ve stress tests, &with impaired LV functionR&M Solutionswww.rmsolutions.net

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