Article,

Optimal Medical Therapy with or without PCI for Stable Coronary Disease

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N Engl J Med, 356 (15): 1503--1516 (Apr 12, 2007)
DOI: 10.1056/nejmoa070829

Abstract

During the past 30 years, the use of percutaneous coronary intervention (PCI) has become common in the initial management strategy for patients with stable coronary artery disease in North America, even though treatment guidelines advocate an initial approach with intensive medical therapy, a reduction of risk factors, and lifestyle intervention (known as optimal medical therapy).1,2 In 2004, more than 1 million coronary stent procedures were performed in the United States,3 and recent registry data indicate that approximately 85\% of all PCI procedures are undertaken electively in patients with stable coronary artery disease.4 PCI reduces the incidence of death and . . .

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