- Your Heart
- Ask Dr. T
- Heart Healthy Living
- About Us
- Contact Us
The Syntax Trial
Although coronary-artery bypass grafting (CABG) has been the standard of care for patients with left-main or three-vessel coronary disease who require revascularization, percutaneous coronary intervention (PCI) with stenting is also an option in such cases. These two interventions were compared in the SYNTAX trial, which was sponsored by the manufacturer of the Taxus drug-eluting stent.
Eighteen hundred patients with previously untreated left-main or three-vessel disease were randomized to CABG or PCI; in each case, either intervention was deemed feasible by a cardiologist and a surgeon. At 1 year, incidence of the primary composite endpoint (death, stroke, myocardial infarction, or repeat revascularization) was significantly lower with CABG than with PCI (12.4% vs. 17.8%). The Table shows differences in outcomes for individual components of the composite endpoint:
(From: Journal Watch General Medicine March 5, 2009)
"Currently available data emphasize the fact that CABG remains an excellent and often superior long-term form of revascularization in some selected groups of patients with two-vessel diseases and most groups of patients with three-vessels CAD""Currently available data emphasize the fact that CABG remains an excellent and often superior long-term form of revascularization in some selected groups of patients with two-vessel diseases and most groups of patients with three-vessels CAD"
Ask Doctor T. Blog
I have been advised by my primary physician to schedule a cardiac catherization and possible stent placement procedure after having a Nuclear Stress Test with the following "Findings:
The study quality is excellent. There is no transient LV ischemic dilatation noted. The left ventricular...
I have a friend with internal defibulator. can I perform cpr and is it possible for me to get shocked if the debibulator is going off?