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The subgroups were compared in regard to angiographic status and consequently the need for revascularization.
This study was designed to evaluate whether the absence of coronary calcium could rule out ≥50% coronary stenosis or the need for revascularization.
Angiotensin-converting enzyme (ACE) inhibitors reduce mortality, myocardial infarction, stroke, heart failure, need for revascularization, nephropathy, and diabetes and its complications.
In everyday practice the off label use of DES is widespread, but are SES as effective in reducing the need for revascularization when used on-label and do certain types of off-label use raise greater safety concerns?
The aim of the study was to compare need for revascularization and clinical course between troponin-positive and troponin-negative patients with unstable angina pectoris defined as class IIIB according to Braunwald classification.
Randomized clinical trials have demonstrated the superiority of drug-eluting stents (DESs) compared with bare-metal stents in reducing the need for revascularization and major adverse cardiac events (MACEs) in low-risk patients with single-vessel lesions.
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Of note, the medical co-treatments have changes as well over time (improvement in lipid-lowering treatment, anti-platelet therapy etc)., leading to a general reduction in need for revascularizations and therefore, less significant differences between the two stents in this regard (Figure S2).
The decision regarding the need for coronary revascularization and the method of revascularization (coronary artery bypass grafting or a percutaneous coronary intervention) was made by the referring cardiologist on an individual patient basis.
Additionally, diagnostic coronary angiography and coronary artery revascularization was performed in all of our patients to exclude the need for coronary revascularization and to define the aetiology of cardiomyopathy.
In conclusion, compared with angioplasty alone, revascularization with coronary stents provides a significant early and sustained decrease in the need for repeat revascularization, but stents do not influence long-term survival.
And taking the vitamins did not reduce the need for cardiac revascularization, a surgical operation to restore adequate blood flow to the heart.
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