Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
|
| pubmed:dateCreated |
1998-4-2
|
| pubmed:abstractText |
The purpose of this study was to evaluate the outcomes of medical management compared with invasive management for patients with mild or moderate ischemia (non-high-risk) on stress tomographic myocardial perfusion scintigraphy. Of the 1,352 non-high-risk patients, 116 (9%) subsequently were referred for coronary angiography within the first 30 days after the scan; 99 (85%) of this group also underwent early revascularization procedures. The remaining 1,236 patients (91%) with non-high-risk ischemia did not undergo early invasive management. Unadjusted actuarial 3-year rate of cardiac death or nonfatal infarction was significantly better estimated survival in the medically managed group (2%) compared with the invasively managed group (22%), p = 0.0001. Subsequent coronary revascularization procedures during 3-year follow-up were less frequent in the medically managed group (4%) than in the invasively managed group (42%), p = 0.0001. A multivariable analysis identified invasive management strategy (p = 0.0001) as the only correlate of cardiac events during follow-up. In summary, this study showed that patients with non-high-risk ischemia on stress perfusion imaging can be treated safely with a conservative medical management strategy.
|
| pubmed:commentsCorrections | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
1071-3581
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
5
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
28-33
|
| pubmed:dateRevised |
2010-11-18
|
| pubmed:meshHeading |
pubmed-meshheading:9504870-Actuarial Analysis,
pubmed-meshheading:9504870-Angioplasty, Balloon, Coronary,
pubmed-meshheading:9504870-Coronary Artery Bypass,
pubmed-meshheading:9504870-Exercise Test,
pubmed-meshheading:9504870-Female,
pubmed-meshheading:9504870-Follow-Up Studies,
pubmed-meshheading:9504870-Heart,
pubmed-meshheading:9504870-Humans,
pubmed-meshheading:9504870-Male,
pubmed-meshheading:9504870-Middle Aged,
pubmed-meshheading:9504870-Myocardial Infarction,
pubmed-meshheading:9504870-Myocardial Ischemia,
pubmed-meshheading:9504870-Outcome Assessment (Health Care),
pubmed-meshheading:9504870-Proportional Hazards Models,
pubmed-meshheading:9504870-Retrospective Studies,
pubmed-meshheading:9504870-Risk Factors,
pubmed-meshheading:9504870-Tomography, Emission-Computed, Single-Photon
|
| pubmed:articleTitle |
Outcome of medical versus invasive treatment strategies for non-high-risk ischemic heart disease.
|
| pubmed:affiliation |
Cardiovascular Consultants, PC, Mid America Heart Institute, Kansas City, Missouri, USA.
|
| pubmed:publicationType |
Journal Article,
Comparative Study
|