A meta-analysis of optimal medical therapy with or without percutaneous coronary intervention in patients with stable coronary artery disease. (Record no. 6301)

MARC details
000 -LEADER
fixed length control field 03657nam a22004697a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210607s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0954-6928
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 00019501-900000000-98687 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1097/MCA.0000000000001041 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 33878073
245 ## - TITLE STATEMENT
Title A meta-analysis of optimal medical therapy with or without percutaneous coronary intervention in patients with stable coronary artery disease.
251 ## - Source
Source Coronary Artery Disease. 33(2):91-97, 2022 03 01.
252 ## - Abbreviated Source
Abbreviated source Coron Artery Dis. 33(2):91-97, 2022 03 01.
252 ## - Abbreviated Source
Former abbreviated source Coron Artery Dis. 2021 Apr 19
253 ## - Journal Name
Journal name Coronary artery disease
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2021-06-07
268 ## - Previous citation
-- Coronary Artery Disease. 2021 Apr 19
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Whether percutaneous coronary intervention (PCI) improves clinical outcomes in patients with chronic angina and stable coronary artery disease (CAD) has been a continuing area of investigation for more than two decades. The recently reported results of the International Study of Comparative Health Effectiveness with Medical and Invasive Approaches, the largest prospective trial of optimal medical therapy (OMT) with or without myocardial revascularization, provides a unique opportunity to determine whether there is an incremental benefit of revascularization in stable CAD patients.
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: In patient with chronic stable CAD (without left main disease or reduced ejection fraction), PCI in addition to OMT did not improve mortality or MI compared to OMT alone. However, this strategy is associated with a lower rate of revascularization and improved anginal symptoms. Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved.
520 ## - SUMMARY, ETC.
Abstract METHODS: Scientific databases and websites were searched to find randomized clinical trials (RCTs). Pooled risk ratios were calculated using the random-effects model.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Data from 10 RCTs comprising 12 125 patients showed that PCI, when added to OMT, were not associated with lower all-cause mortality (risk ratios, 0.96; 95% CI, 0.87-1.08), cardiovascular mortality (risk ratios, 0.91; 95% CI, 0.79-1.05) or myocardial infarction (MI) (risk ratios, 0.90; 95% CI, 0.78-1.04) as compared with OMT alone. However, OMT+PCI was associated with improved anginal symptoms and a lower risk for revascularization (risk ratios, 0.52; 95% CI, 0.37-0.75).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Coronary Artery Disease/th [Therapy]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Percutaneous Coronary Intervention/st [Standards]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Cardiovascular Agents/ae [Adverse Effects]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Cardiovascular Agents/pd [Pharmacology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Coronary Artery Disease/co [Complications]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Percutaneous Coronary Intervention/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Treatment Outcome
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Heart & Vascular Institute
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Weintraub, William S
790 ## - Authors
All authors Boden WE, Davis DA, Labroo A, Le FK, Nasr A, Nayyar M, Rashid A, Shah R, Weintraub WS
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1097/MCA.0000000000001041">https://dx.doi.org/10.1097/MCA.0000000000001041</a>
Public note https://dx.doi.org/10.1097/MCA.0000000000001041
-- https://dx.doi.org/10.1097/MCA.0000000000001041xl - https://dx.doi.org/10.1097/MCA.0000000000001041
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1097/MCA.0000000000001041xl - https://dx.doi.org/10.1097/MCA.0000000000001041">https://dx.doi.org/10.1097/MCA.0000000000001041xl - https://dx.doi.org/10.1097/MCA.0000000000001041</a>
Public note https://dx.doi.org/10.1097/MCA.0000000000001041
-- https://dx.doi.org/10.1097/MCA.0000000000001041xl - https://dx.doi.org/10.1097/MCA.0000000000001041
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 06/07/2021   33878073 33878073 06/07/2021 06/07/2021 Journal Article

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