Document Detail


The new European Society of Cardiology guidelines on myocardial revascularisation: an appraisal.
MedLine Citation:
PMID:  22002978     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The latest European Society of Cardiology (ESC) guidelines on myocardial revascularisation are reviewed. The nearly 300 recommendations make it difficult to apply them in their totality. The authors would propose 20-30 recommendations per guideline based on sound clinical evidence. Also, the scope of the current guidelines is very wide as it includes topics already incorporated in other guidelines, such as strategies for pre-intervention diagnosis and imaging as well as on secondary prevention. Some recommendations in the new guidelines are sensible and will not be disputed. In particular, the encouragement of a balanced multidisciplinary decision process (the 'heart team') is welcome. Although coronary revascularisation in unstable high risk patients is well accepted, this is less the case for the low risk patient with chest pain. This issue is controversial and a balanced discussion of the pros and cons of percutaneous coronary intervention is missing. Despite convincing evidence indicating lack of benefit of percutaneous coronary intervention for chronic total occlusion, this procedure is not discouraged. Lastly, most committee members were interventional cardiologists or cardiac surgeons. Guideline committees should be representative of the whole group of professionals as the interpretation of the evidence by specialists may be biased. There may be a role for procedure oriented guidelines but, in that case, the items at issue should remain confined to matters directly related to technical aspects of the procedure.
Authors:
Sjoerd T Nauta; Marcia Gaspersz; Jaap W Deckers
Related Documents :
15725068 - The diagnostic and prognostic value of brain natriuretic peptide and aminoterminal (nt)...
17235108 - Serum nt-probnp concentrations in the early phase do not predict the severity of systol...
9365448 - Value of natriuretic peptides in assessment of patients with possible new heart failure...
16223888 - Capability of b-type natriuretic peptide (bnp) and amino-terminal probnp as indicators ...
20929978 - Heart failure reversal by ventricular unloading in patients with chronic cardiomyopathy...
10511648 - Reversal of intraventricular flow propagation during isovolumic relaxation: a marker of...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-14
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  -     ISSN:  1468-201X     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Erasmus Medical Centre, Rotterdam, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Distribution of Lesions in Fetal Brains Following Experimental Infection of Pregnant Sheep With Toxo...
Next Document:  Dihydroartemisinin-piperaquine versus chloroquine in the treatment of Plasmodium vivax malaria in Th...