Treatments are designed to make people feel better or live longer.Percutaneous coronary intervention (PCI) is effective at reducingangina in patients with symptomatic coronary artery diseaseand at reducing mortality in patients who have acute myocardialinfarction with ST-segment elevation and in those who have high-riskacute coronary syndromes without ST-segment elevation.1 Suchsuccesses have often been extrapolated in support of more widespreaduse of PCI in patients with stable coronary artery disease inhopes of reducing subsequent cardiac events.
With the increasing availability of noninvasive imaging of coronaryartery disease, asymptomatic patients are often referred forPCI. But . . . [Full Text of this Article]
Source Information
From the Cardiovascular Clinical Research Center, Leon Charney Division of Cardiology, New York University School of Medicine, New York (J.S.H.); and Centre Hospitalier Bichat–Claude Bernard, Université Paris VII–Denis Diderot, Paris (P.G.S.).
This article (10.1056/NEJMe078036) was published at www.nejm.org on March 26, 2007.
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