ISCHEMIA TRIAL (2020): Initial Invasive or Conservative Strategy for Stable Coronary Artery Disease

ISCHEMIA TRIAL (2020): Initial Invasive or Conservative Strategy for Stable Coronary Artery Disease
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⛔️Disclaimer: This post is for educational and informational purposes only and is not intended for medical advice, diagnosis or treatment, nor to replace medical care. For patient care, always consult a healthcare professional for medical advice, diagnosis, treatment, and management. Information presented here, has been adapted from the original study, cross referenced, and presented to the best of the authors ability; however, errors may still be present.
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📍 Population: Stable CAD after stress testing showed moderate or severe ischemia on exercise stress test or imaging
🧪 Intervention: Invasive strategy (medical therapy + angiography + revascularization) vs medical therapy (with angiography if failure)
🎯 Outcome: Composite of Cardiovascular mortality, MI, Unstable angina hospitalization; Cardiovascular mortality or MI and angina related QoL
✅ Key Takeaway: No difference in th primary outcome through five years.
⚠️insufficient power, change in MI definition during the study; not applicable to ACS or left main disease
🔗Original study DOI: 10.1056/NEJMoa1915922
🔗TBL:
🔗Rebel EM: https://rebelem.com/the-ischemia-tria...
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