[Indications for percutaneous myocardial revascularization]
Paolo Sganzerla1, Fabrizio Centonze, Emanuela Tavasci
1S.C. Cardiologia, A.O. Ospedale di Treviglio-Caravaggio, Treviglio. paolo_sganzerla@ospedale.treviglio.bg.it
Insights
This case study emphasizes personalized treatment for coronary artery disease (CAD). Tailored myocardial revascularization strategies balance guidelines with individual patient needs for optimal outcomes.
Area of Science:
- Cardiology
- Clinical Medicine
Background:
- Coronary artery disease (CAD) management requires balancing established guidelines with individual patient factors.
- Atherosclerotic disease progression necessitates long-term therapeutic planning.
Observation:
- A 78-year-old woman with three-vessel CAD and effort angina presented with normal left ventricular function.
- The patient's comorbidities and frailty were significant considerations.
Findings:
- Optimal timing and indications for myocardial revascularization are crucial.
- A tailored therapeutic strategy, considering the patient's specific clinical stage and disease history, is essential.
Implications:
- Multidisciplinary heart team approach is vital for complex CAD cases.
- Personalized treatment plans improve outcomes for patients with coronary artery disease.
Abstract:
Indications and timing of myocardial revascularization procedures are discussed based on the case of a 78-year-old woman suffering from effort angina due to three-vessel coronary artery disease with normal left ventricular function. At present, atherosclerotic patients have a relatively long history of their disease, so that physicians should organize therapeutic strategies resulting from a right trade-off between guidelines of international scientific societies and the peculiar clinical requirements of the individual patient in the particular stage of his/her disease. This kind of tailored therapy may result from a multidisciplinary approach (heart team), which should involve many specialists as comorbidities and frailty of the patients are numerous and significant.
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