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Pharmacotherapy for end-stage coronary artery disease
Neel R Sodha1, Louis M Chu, Munir Boodhwani
1Beth Israel Deaconess Medical Center, Harvard Medical School, Department of Surgery, LMOB 9B, 110 Francis Street, Boston, MA 02215, USA.
Insights
Pharmacotherapy offers new hope for end-stage coronary artery disease (CAD) patients ineligible for invasive treatments. Augmenting the body's natural blood vessel growth (angiogenesis) shows promise for treating chronic heart ischemia.
Area of Science:
- Cardiovascular Medicine
- Regenerative Medicine
- Pharmacology
Background:
- Coronary artery disease (CAD) is a primary cause of death globally.
- Many patients with advanced CAD lack options for surgical or catheter-based interventions.
- This review focuses on pharmacotherapeutic strategies for end-stage CAD.
Purpose of the Study:
- To review current pharmacotherapeutic interventions for end-stage coronary artery disease.
- To explore novel approaches for managing patients with limited invasive treatment options.
Main Methods:
- Comprehensive literature review.
- Focus on therapeutic angiogenesis research from 1980 to 2009.
Main Results:
- Overview of current therapeutic strategies for end-stage CAD.
- Identification of promising pharmacologic targets.
Conclusions:
- Therapeutic angiogenesis, particularly enhancing endogenous responses with growth factors, is a promising strategy.
- This approach aims to improve blood supply in chronic myocardial ischemia.
Importance Of The Field:
Coronary artery disease remains the leading cause of mortality in the industrialized world. Despite advances in surgical and catheter-based interventions, a select number of patients remain with no options for invasive therapy. The goal of this review is to discuss the current status of pharmacotherapeutic interventions to treat end-stage coronary artery disease.
Areas Covered In This Review:
Literature review on the topic of therapeutic angiogenesis from 1980 to 2009.
What The Reader Will Gain:
Insight into current therapeutic strategies employed to manage end-stage coronary artery disease.
Take Home Message:
A promising approach focuses on augmenting the endogenous angiogenic response to chronic myocardial ischemia via the use of growth factors.
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