Long-Term Survival After Initial Invasive or Conservative Management of Stable Coronary Disease

Now transitioning into “Long Term” status, this is a follow-up on research published in 2022. The findings may be encouraging for some dealing with CV challenges.

Key Points

Question What are the outcomes of initial invasive and conservative strategies in long-term mortality on patients with chronic coronary disease?

Findings In this long-term follow-up of a clinical trial of 5179 participants with stable coronary disease randomized to an initial invasive vs initial conservative management strategy, all-cause mortality was not significantly different at median follow-up (25.8% vs 26.9%, respectively, at 11 years).

Meaning In this study, no significant difference was found in survival times for these 2 initial management strategies, which supports shared decision-making between patients and their clinicians.

https://jamanetwork.com/journals/jama/fullarticle/2856396

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