3. Revascularization for stable CAD
• Angina is associated with impaired quality of
life, reduced physical endurance, mental
depression, and recurrent hospitalizations and
outpatient visits
• Revascularization by PCI or CABG:
more effectively relieves angina
reduces the use of anti-angina drugs, and
improves exercise capacity and quality of life,
compared with a strategy of medical therapy
alone
4. • Prior to revascularization, patients with SCAD
must receive guideline-recommended medical
treatment, due to its established benefits in
terms of prognosis and symptom relief
• Revascularization and medical therapy should
be seen as complementary, rather than
competitive treatment strategies.
10. • Timing of angiography and revascularization should be
based on patient risk profile
Very high risk Pts: Urgent angiography < 2 hrs
High Risk: Early invasive strategy within 24 hrs
In lower-risk subsets, with aGRACE risk score of ,140 but
with at least one secondary high-risk criterion:
invasive evaluation can be delayed without increased risk but
should be performed during the same hospital stay, preferably
within 72 hours of admission.
In other low-risk patients without recurrent symptoms:
noninvasive assessment of inducible ischaemia should be
performed before hospital discharge. 7.3 Type of
revascularization