{"id":7683,"date":"2012-07-21T05:25:52","date_gmt":"2012-07-21T05:25:52","guid":{"rendered":"http:\/\/cardiophile.org\/?p=7683"},"modified":"2012-07-21T05:25:52","modified_gmt":"2012-07-21T05:25:52","slug":"ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/","title":{"rendered":"Ischemia guided revascularization in multi-vessel CAD reduces MACCE"},"content":{"rendered":"<h1 class=\"title single-title\"><span style=\"color: #008000;\">Ischemia guided revascularization in multi-vessel CAD reduces MACCE<\/span><\/h1>\n<p>Which vessels to revascularize is always a question in a person with multi-vessel coronary artery disease of varying severity. Kim Y and colleagues [1] addressed this issue in a retrospective analysis of over five thousand three hundred patients with multi-vessel coronary artery disease, of which nearly half underwent PCI (percutaneous coronary intervention) with DES (drug eluting stents) while a little more than half underwent coronary artery bypass grafting (CABG). The revascularization was done in the matched coronary artery with the perfusion abnormality noted on MPI (myocardial perfusion imaging). Myocardial perfusion imaging was done in over forty two percent of patients. MACCE (major adverse cardiac and cerebrovascular events) including death, myocardial infarction, stroke and repeat revascularization was lower in the ischemia guided revascularization group (16.2 percent versus 20.7 percent). The difference was mainly due to the lower rates of repeat revascularization (9.9 percent versus 22.8 percent). This difference was mostly in the PCI group, rather than the CABG group.<\/p>\n<p><strong><span style=\"color: #0000ff;\">Reference<\/span><\/strong><\/p>\n<ol>\n<li>Kim YH, Ahn JM, Park DW, Song HG, Lee JY, Kim WJ, Yun SC, Kang SJ, Lee SW, Lee CW, Moon DH, Chung CH, Lee JW, Park SW, Park SJ.\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22789882\">Impact of Ischemia-Guided Revascularization With Myocardial Perfusion Imaging for Patients With Multivessel Coronary Disease.<\/a>\u00a0J Am Coll Cardiol. 2012;60:181-190.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>MACCE including death, myocardial infarction, stroke and repeat revascularization was lower in the ischemia guided revascularization group <\/p>\n","protected":false},"author":1,"featured_media":35028,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[18],"tags":[],"class_list":["post-7683","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angiography-and-interventions"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ischemia guided revascularization in multi-vessel CAD reduces MACCE - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"description\" content=\"MACCE including death, myocardial infarction, stroke and repeat revascularization was lower in the ischemia guided revascularization group\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ischemia guided revascularization in multi-vessel CAD reduces MACCE - All About Cardiovascular System and Disorders\" \/>\n<meta property=\"og:description\" content=\"MACCE including death, myocardial infarction, stroke and repeat revascularization was lower in the ischemia guided revascularization group\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2012-07-21T05:25:52+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Ischemia guided revascularization in multi-vessel CAD reduces MACCE\",\"datePublished\":\"2012-07-21T05:25:52+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\\\/\"},\"wordCount\":219,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"Angiography and Interventions\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\\\/\",\"name\":\"Ischemia guided revascularization in multi-vessel CAD reduces MACCE - All About Cardiovascular System and Disorders\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2012-07-21T05:25:52+00:00\",\"description\":\"MACCE including death, myocardial infarction, stroke and repeat revascularization was lower in the ischemia guided revascularization group\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Ischemia guided revascularization in multi-vessel CAD reduces MACCE\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Ischemia guided revascularization in multi-vessel CAD reduces MACCE - All About Cardiovascular System and Disorders","description":"MACCE including death, myocardial infarction, stroke and repeat revascularization was lower in the ischemia guided revascularization group","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/","og_locale":"en_US","og_type":"article","og_title":"Ischemia guided revascularization in multi-vessel CAD reduces MACCE - All About Cardiovascular System and Disorders","og_description":"MACCE including death, myocardial infarction, stroke and repeat revascularization was lower in the ischemia guided revascularization group","og_url":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2012-07-21T05:25:52+00:00","author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"Ischemia guided revascularization in multi-vessel CAD reduces MACCE","datePublished":"2012-07-21T05:25:52+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/"},"wordCount":219,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/#primaryimage"},"thumbnailUrl":"","articleSection":["Angiography and Interventions"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/","url":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/","name":"Ischemia guided revascularization in multi-vessel CAD reduces MACCE - All About Cardiovascular System and Disorders","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/#primaryimage"},"thumbnailUrl":"","datePublished":"2012-07-21T05:25:52+00:00","description":"MACCE including death, myocardial infarction, stroke and repeat revascularization was lower in the ischemia guided revascularization group","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/#primaryimage","url":"","contentUrl":""},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/ischemia-guided-revascularization-in-multi-vessel-cad-reduces-macce\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"Ischemia guided revascularization in multi-vessel CAD reduces MACCE"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/7683","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=7683"}],"version-history":[{"count":0,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/7683\/revisions"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=7683"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=7683"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=7683"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}