Treatment decisions in stable coronary artery disease: insights from the Euro Heart Survey on Coronary Revascularization.

摘要: Objective: We sought to assess determinants of clinical decision making in patients with stable coronary artery disease. Methods: The 2936 angina pectoris who enrolled the Euro Heart Survey on Coronary Revascularization were subject this analysis. After diagnosis has been confirmed, physicians decided treatment: medical management or revascularization therapy by means percutaneous intervention bypass surgery. applied logistic regression analyses evaluate relation between baseline characteristics and treatment decision: versus intervention, surgery, Results: median age was 64 years, 77% men, 20% had diabetes. Medical intended 690 (24%) patients, 1503 (51%) surgery remaining 743 (25%) respectively. generally preferred more severe anginal complaints, an intermediate-to-large area myocardium at risk, preserved left ventricular function not undergone prior revascularization, provided lesions suitable for treatment. over multivessel main disease, as well those concomitant valvular heart a sufficient number In previous surgeries, often than redo Diabetes associated frequent preference Conclusions: hospitals that participated Revascularization, decisions disease largely agreement professional guidelines determined multiple factors. Most important deviations guideline recommendations practice seen extensive impaired function,