Contemporary Management of Stable Coronary Artery Disease　― Implications of the ISCHEMIA Trial ―

Shun Kohsaka; Kenji Fukushima; Ippei WatanabeSusumu ManabeNozomi NiimiYodo GatateMitsuaki SawanoShintaro Nakano

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Contemporary Management of Stable Coronary Artery Disease　― Implications of the ISCHEMIA Trial ―

机译：Contemporary Management of Stable Coronary Artery Disease　― Implications of the ISCHEMIA Trial ―

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Coronary artery disease (CAD) remains a leading cause of mortality and morbidity in developed countries. Although urgent revascularization is the cornerstone of management of acute coronary syndrome (ACS), for patients with stable CAD recent large-scale clinical trials indicate that a mechanical ‘fix’ of a narrowed artery is not obviously beneficial; ACS and stable CAD are increasingly recognized as different clinical entities. We review the perspectives on (1) modifying the diagnostic pathway of stable CAD with the incorporation of modern estimates of pretest probability, (2) non-imaging evaluations based on their availability, (3) the optimal timing of invasive coronary angiography and revascularization, and (4) the implementation of medical therapy during the work-up.

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《circulation journal》 |2021年第11期|1919-1927|共9页
作者
Shun Kohsaka; Kenji Fukushima; Ippei WatanabeSusumu ManabeNozomi NiimiYodo GatateMitsuaki SawanoShintaro Nakano;
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作者单位

Department of Cardiology, Keio University School of Medicine;

Department of Nuclear Medicine, Saitama Medical University International Medical Center;

Division of Cardiovascular Medicine, Department of Internal Medicine, Toho University Faculty of MedicineDepartment of Cardiac Surgery, University of International Health and Welfare, Narita HospitalDepartment of Cardiology, Saitama Medical University International Medical CenterDepartment of Cardiology, Tokyo Dental College, Ichikawa General Hospital;

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正文语种英语
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Acute coronary syndrome; Coronary artery disease; Diagnostics; Ischemia; Management;

Contemporary Management of Stable Coronary Artery Disease ― Implications of the ISCHEMIA Trial ―

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Contemporary Management of Stable Coronary Artery Disease　― Implications of the ISCHEMIA Trial ―