TY - JOUR
T1 - Factors affecting the therapeutic choice in patients with multivessel coronary artery disease
AU - De Servi, Stefano
AU - Galli, Stefano
AU - Onofri, Marco
AU - Boschetti, Enrico
AU - Oberti, Rossella
AU - Niccoli, Luigi
AU - De Biase, Anna Maria
AU - Rovelli, Gianni
AU - Carini, Massimo
AU - Regalia, Francesca
AU - Valentini, Paolo
AU - Bartorelli, Antonio
PY - 1997
Y1 - 1997
N2 - Objective - To assess how clinical and angiographic findings are related to the decision to carry out coronary angioplasty (PTCA) or coronary bypass grafting in patients with multivessel coronary artery disease. Design - Prospective survey carried out in 14 centres in the Lombardia region of Italy. Patients - 1468 consecutive patients under going coronary arteriography for known or suspected ischaemic heart disease between May and October 1994, who were found to have multivessel coronary artery disease. Main outcome measures - Multivariate analysis was undertaken using stepwise logistic regression to identify the clinical and angiographic variables correlated with revascularisation (υ medical treatment) in all of patients, and with surgery (υ angioplasty) in the subset of revascularised patients. Results -In all patients the clinical decision after coronary arteriography was made by physicians of each participating centre on the basis of their experience and clinical judgment: 53% of patients had bypass surgery, 28% had PTCA, and 19% continued medical treatment. The choice of a revascularisation procedure was directly related to a clinical diagnosis of unstable angina (P
AB - Objective - To assess how clinical and angiographic findings are related to the decision to carry out coronary angioplasty (PTCA) or coronary bypass grafting in patients with multivessel coronary artery disease. Design - Prospective survey carried out in 14 centres in the Lombardia region of Italy. Patients - 1468 consecutive patients under going coronary arteriography for known or suspected ischaemic heart disease between May and October 1994, who were found to have multivessel coronary artery disease. Main outcome measures - Multivariate analysis was undertaken using stepwise logistic regression to identify the clinical and angiographic variables correlated with revascularisation (υ medical treatment) in all of patients, and with surgery (υ angioplasty) in the subset of revascularised patients. Results -In all patients the clinical decision after coronary arteriography was made by physicians of each participating centre on the basis of their experience and clinical judgment: 53% of patients had bypass surgery, 28% had PTCA, and 19% continued medical treatment. The choice of a revascularisation procedure was directly related to a clinical diagnosis of unstable angina (P
KW - Clinical decision making
KW - Coronary angioplasty
KW - Coronary artery disease
KW - Coronary bypass surgery
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M3 - Article
C2 - 9196415
AN - SCOPUS:8544256354
SN - 1355-6037
VL - 77
SP - 443
EP - 448
JO - Heart
JF - Heart
IS - 5
ER -