Critical analysis of the classic indications for myocardial revascularization

• Autor(a) principal: Azevedo,Diogo Freitas Cardoso de
• Data de Publicação: 2019
• Outros Autores: Lima,Eduardo Gomes, Ribeiro,Matheus de Oliveira Laterza, Linhares Filho,Jaime Paula Pessoa, Serrano Júnior,Carlos Vicente
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista da Associação Médica Brasileira (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302019000300319
• topic: Coronary artery disease; Myocardial Revascularization; Angina, Stable

SUMMARY Treatment of stable coronary artery disease (CAD) relies on improved prognosis and relief of symptoms. National and international guidelines on CAD support the indication of revascularization in patients with limiting symptoms and refractory to optimal medical treatment, as well as in clinical situations where there is a prognostic benefit of interventional treatment. Most of the studies that support the guidelines for indication of revascularization date back to the 1980s and1990s of the last century. Recent studies have revisited the theme and brought a new breath. The present review provides a critical analysis of classic indications for revascularization, reviewing evidence from the studies of the 1970s to the recent controversial ORBITA study.