Document Detail

MedLine Citation:
PMID:  23518373     Owner:  NLM     Status:  In-Data-Review    
The optimal management for ischemic cardiomyopathy has been a clinical conundrum for years. Until the publication of the Surgical Treatment of Ischemic Cardiac Heart Failure (STICH) trial, recommendations have been primarily based upon expert opinion, retrospective literature, and clinical anecdotes. However, medical and device management have matured significantly in an era where surgical morbidity and mortality remain significant for coronary bypass grafting in the setting of severe left ventricular dysfunction. For the first time in years, there now exists a landmark prospective randomized clinical trial that addresses the role of coronary bypass surgery as an initial strategy for ischemic cardiomyopathy. Although many interpretations of STICH exist, the neutral results of STICH should reassure clinicians that a strategy of initiating and optimizing medical therapy and deferring surgical revascularization for ischemic cardiomyopathy in "STICH-like patients" is effective, safe, and tested.
Chantal Elamm; James C Fang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Progress in cardiovascular diseases     Volume:  55     ISSN:  1532-8643     ISO Abbreviation:  Prog Cardiovasc Dis     Publication Date:    2013 Mar-Apr
Date Detail:
Created Date:  2013-03-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376442     Medline TA:  Prog Cardiovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  466-9     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2013 Elsevier Inc. All rights reserved.
Harrington Heart and Vascular Institute, University Hospitals Case Medical Center, Cleveland, OH; Cardiovascular Division, Case Western Reserve University School of Medicine, Cleveland, OH.
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