This article examines the role of percutaneous coronary intervention in the treatment of patients with stable ischemic heart disease.
This study describes the characteristics, angiographic findings, and treatment patterns of patients with stable angina symptoms undergoing cardiac catheterization and/or percutaneous coronary intervention before noncardiac surgery in a large national registry.
This matched-cohort study evaluates the risk of cataract in the population undergoing percutaneous cardiac intervention procedures.
The China PEACE-Retrospective CathPCI Study evaluates the change in the use of coronary artery catheterization and percutaneous coronary intervention in Chinese urban hospitals.
This study investigates the prognostic effect of intra-aortic balloon pump use in Japanese patients undergoing percutaneous coronary intervention for nonacute and acute indications.
This Research Letter reports heterogeneity in institutional review of percutaneous coronary intervention appropriateness and calls for the identification of effective strategies to improve institutional review.
This cross-sectional analysis found that informed decision making is often incomplete in conversations between cardiologists and patients with stable angina.
This Editorial discusses overuse of medical services and proposes ways to assess and reduce patterns of overuse.
This retrospective study revealed increased use of percutaneous ventricular assist devices (PVADs) and decreased use of intra-aortic balloon pumps, leading to questions regarding the high mortality, cost, and unclear benefit associated with PVADs.
In this meta-analysis, intra-aortic balloon pump therapy was not found to improve mortality among patients with acute myocardial infarction in randomized clinical trials, regardless of whether patients had cardiogenic shock.
This US data registry study finds that neither fibrinolysis nor primary percutaneous coronary intervention is being optimally used to achieve guideline-recommended reperfusion targets in patients with ST-segment elevation myocardial infarction. See the Invited Commentary by Claeys.
High-risk patients with heart failure and cardiac arrest hospitalized in teaching hospitals had lower 30-day mortality when admitted during dates of national cardiology meetings. High-risk patients with acute myocardial infarction admitted to teaching hospitals during meetings were less likely to receive percutaneous coronary intervention , without any mortality effect.
In comparing men and women with ST-segment elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention, this meta-analysis found an increased mortality in women but which is likely confounded by differences in cardiovascular risk factors and clinical profiles between sexes.
Bradley et al determine if hospitals that frequently perform coronary angiography in asymptomatic patients, a clinical scenario in which the benefit of angiography is less clear, are more likely to perform inappropriate PCI. They performed a multicenter observational study of 544 hospitals participating in the CathPCI Registry between 2009 and 2013.
Goff et al describe the discussions between patients and cardiologists regarding angiogram and PCI for stable CAD and analyze the elements that may affect patients’ understanding. See also the invited commentary by Lin and Dudley.