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稳定型冠状动脉疾病血运重建的争议。

Controversies in revascularisation for stable coronary artery disease.

机构信息

National Heart and Lung Institute, London, UK and Hammersmith Hospital, London, UK

National Heart and Lung Institute, London, UK and Hammersmith Hospital, London, UK.

出版信息

Clin Med (Lond). 2021 Mar;21(2):114-118. doi: 10.7861/clinmed.2020-0922.

Abstract

Recent randomised controlled trials, such as ISCHEMIA and ORBITA, have overturned most of what we were taught in medical school about hospital procedures considered necessary for patients with stable coronary artery disease. In this article, we discuss what these trials mean for physicians and patients considering revascularisation procedures with the hope of reducing the risk of death or alleviating angina.

摘要

最近的随机对照试验,如 ISCHEMIA 和 ORBITA,推翻了我们在医学院所学的大多数关于稳定型冠心病患者所需的医院程序的知识。在本文中,我们讨论了这些试验对考虑进行血管重建手术的医生和患者意味着什么,希望能降低死亡风险或减轻心绞痛。

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本文引用的文献

3
Initial Invasive or Conservative Strategy for Stable Coronary Disease.
N Engl J Med. 2020 Apr 9;382(15):1395-1407. doi: 10.1056/NEJMoa1915922. Epub 2020 Mar 30.
7
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N Engl J Med. 2019 Nov 7;381(19):1820-1830. doi: 10.1056/NEJMoa1909406. Epub 2019 Sep 28.
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