Core IM | Internal Medicine Podcast
#132 Does PCI Save Lives in Heart Failure and CAD? Beyond Journal Club on the REVIVED Trial
Aug 2, 2023
17:48
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Quick takeaways
- Bypass surgery improves mortality in patients with reduced ejection fraction and multivessel coronary disease.
- Stents do not save lives or reduce hospitalizations for heart failure and unstable angina in patients with moderate to severe ischemia.
Deep dives
Stitch and the Role of Revascularization in Ischemic Cardiomyopathy
The Stitch trial established that bypass surgery improves mortality in patients with reduced ejection fraction and multivessel coronary disease. Bypass surgery reduced death by 7% over a 10-year follow-up, showing a significant benefit in improving survival.
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