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Left ventricular function recovery after revascularization: comparative effects of percutaneous coronary intervention

Janet M C Ngu1, Marc Ruel1, Louise Y Sun

  • 1Division of Cardiac Surgery.

Current Opinion in Cardiology
|September 1, 2018
PubMed

Insights

Heart failure with recovered ejection fraction (HFrecEF) shows improved survival. Coronary artery bypass grafting (CABG) may offer greater left ventricular ejection fraction (LVEF) recovery than percutaneous coronary intervention (PCI) in ischemic cardiomyopathy.

Area of Science:

  • Cardiology
  • Heart Failure Research

Background:

  • Heart failure with recovered ejection fraction (HFrecEF) is a recognized phenotype.
  • HFrecEF is linked to enhanced survival and quality of life.

Purpose of the Study:

  • To review HFrecEF.
  • To compare percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) effects on left ventricular ejection fraction (LVEF) recovery in ischemic cardiomyopathy.

Main Methods:

  • Literature review of HFrecEF.
  • Comparative analysis of PCI vs. CABG for LVEF recovery.

Main Results:

  • Emerging data suggests LV functional recovery is achievable.
  • CABG may yield greater LVEF improvement than PCI.
  • Direct comparative studies are limited.

Conclusions:

  • LVEF recovery is a significant outcome with survival benefits.
  • Further randomized trials are necessary to compare PCI and CABG for LVEF recovery in ischemic cardiomyopathy.
Abstract

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