Invasive and medical management approaches to non-acute myocardial ischaemic syndromes - PubMed
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- #medical management
- #myocardial ischaemia
- #coronary artery disease
- Advances in PCI, CABG surgery, pharmacological prevention, anti-anginal agents, and lifestyle interventions have improved coronary artery disease management.
- Management choices in non-acute myocardial ischaemic syndromes (NAMIS) require shared decision-making between invasive strategies with OMT and conservative OMT alone.
- OMT is the first-line approach for NAMIS, with invasive therapy (PCI) recommended for high anatomical risk or persistent symptoms.
- CABG surgery improves survival in high-risk NAMIS patients, such as those with multivessel disease and diabetes, while PCI benefits are less clear.
- Contemporary trials support tailored management pathways for NAMIS, balancing invasive and conservative strategies based on patient risk and symptoms.