Ischemia was detected in 262 patients and 88 of them underwent repeated revascularization.
Although guidelines generally discourage the practice, post-revascularization stress tests are still commonly performed.
Routine exercise echocardiography in asymptomatic patients after revascularization does not lead to better outcomes, according to a new study published in Archives of Internal Medicine.
The primary endpoint was the time to first major vascular event, defined as the composite of non-fatal MI or coronary death, any stroke or any arterial revascularization.
"It does help you select the patients who are going to need further management with revascularization and that's really what you want the test to do, " Williams says.
Overall, 17% of patients in the study underwent repeat revascularization.
The most recent European Society of Cardiology (ESC) guidelines for myocardial revascularization, which were published in 2010, recommend that patients treated with a DES remain on DAPT for six to 12 months.
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However, revascularization had no significant impact on mortality.
Endoluminal Revascularization it is recruiting participants at www.cleverstudy.org.
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The investigators were cautious in their interpretation, noting that the trial barely achieved statistical significance, most of the difference was found in the softer endpoint of revascularization, and the finding is less reliable since there was a high withdrawal rate (17%) of patients in the trial.
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Jude Medical, Inc. (NYSE:STJ), a global medical device company, announced today that an interim analysis of the FAME II trial has found a highly statistically significant reduction in the need for hospital readmission and urgent revascularization when Fractional Flow Reserve (FFR)-guided assessment was used to direct treatment in patients with coronary artery disease.
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