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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