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Category: Volume 07 Issue 01 January 2019
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Title: Short Term Outcome in a Severe Coronary Artery Disease with Different Therapeutic Strategies

Authors: Vidur Karnik, N. Pai, M. N. Bhat, Yogesh Patil, R. L. Kamath, P. Kamath, Rajesh Bhat

 DOI: https://dx.doi.org/10.18535/jmscr/v7i1.109

Abstract

 

Background: The specific question of whether PCI or surgical treatment offers any advantage over medical treatment in patients with stable angina and multivessel disease remains unanswered.
Objective: To compare the major adverse cardiac event at the end of 1 year within different therapeutic modalities.
Materials & Method: Total 98 patients with angiographically documented severe CAD (SYNTAX SCORE >22) by visual assessment and documented ischemia. Patients were then randomized to continue with aggressive medical therapy alone or to undergo PCI or CABG concurrently with medical treatment. Clinical details of the studied cases was noted. Adverse and other clinical events were tracked from patients who were assessed with follow up visits every 3 months until one year.
Results: Out of total 98 patients 52.04 % patients suffered from major adverse cardiovascular events. Most common adverse event was non-fatal myocardial infarction (31.63%). proportion of patients with MACE was more among medical group followed by PTCA group and Least in CABG group (p<0.01). Deaths (5.10%) were more commonly observed in medical treatment.
Conclusion: Our study shows that there was a significant need for additional revascularization procedures in patients who underwent PCI and MT.
Keywords: Coronary artery disease, Percutaneous Coronary intervention (PCI), Coronary artery bypass graft, (CABG), major adverse cardiac event.

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Corresponding Author

Dr N. Pai

KMC & H, Manglore, Karnataka, India

Address- 63- B, Vasantrao Jadhav Park, Ramanand Nagar, Kolhapur, Maharashtra, India Pin- 416007

Tel: 07022129345, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.