Core IM | Internal Medicine Podcast

#132 Does PCI Save Lives in Heart Failure and CAD? Beyond Journal Club on the REVIVED Trial

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Aug 2, 2023

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INSIGHT

Revascularization in HFrEF

Revascularization in heart failure with reduced ejection fraction (HFrEF) aims to improve blood flow.
The STITCH trial showed bypass surgery improved long-term survival in HFrEF patients with multivessel coronary artery disease.

INSIGHT

Stents in Stable Ischemic Heart Disease

Stents primarily relieve angina in stable ischemic heart disease, not improve survival.
COURAGE and ISCHEMIA trials showed stents don't improve long-term outcomes in stable CAD.

INSIGHT

Shifting Focus on Stent Use

Initially, the focus was on what stents could do.
Now, the focus has shifted to when stents should be used.

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