Literature DB >> 17936161

The truth and consequences of the COURAGE trial.

Dean J Kereiakes1, Paul S Teirstein, Ian J Sarembock, David R Holmes, Mitchell W Krucoff, William W O'Neill, Ron Waksman, David O Williams, Jeffrey J Popma, Maurice Buchbinder, Roxana Mehran, Ian T Meredith, Jeffrey W Moses, Gregg W Stone.   

Abstract

Percutaneous coronary intervention (PCI) has played an integral role in the therapeutic management strategies for patients who present with either acute coronary syndromes or stable angina pectoris. The COURAGE (Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation) trial enrolled patients with chronic stable angina and at least 1 significant (> or =70%) angiographic coronary stenosis who were randomly assigned to an initial treatment of either PCI in conjunction with optimal medical therapy or optimal medical therapy alone. Although the initial management strategy of PCI did not reduce the risk of death, myocardial infarction, or other major cardiovascular events, improvement in angina-free status and a reduction in the requirement for subsequent revascularization was observed. An in-depth analysis of the COURAGE trial design and execution is provided.

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Year:  2007        PMID: 17936161     DOI: 10.1016/j.jacc.2007.07.063

Source DB:  PubMed          Journal:  J Am Coll Cardiol        ISSN: 0735-1097            Impact factor:   24.094


  22 in total

1.  Best way to revascularize patients with main stem and three vessel lesions: patients should undergo PCI!

Authors:  Volker Schächinger; Christian Herdeg; Bruno Scheller
Journal:  Clin Res Cardiol       Date:  2010-07-08       Impact factor: 5.460

2.  Is Optimal Medical Therapy as Used in the COURAGE Trial Feasible for Widespread Use?

Authors:  David J Maron; William E Boden; William S Weintraub; Karen J Calfas; Robert A O'Rourke
Journal:  Curr Treat Options Cardiovasc Med       Date:  2011-02

3.  What can be learned from the COURAGE trial?

Authors:  George A Beller
Journal:  J Nucl Cardiol       Date:  2008 Jan-Feb       Impact factor: 5.952

4.  Opportunities for the cost reduction of medical care.

Authors:  Monte Malach; W J Baumol
Journal:  J Community Health       Date:  2009-08

5.  Courage under fire: what is the optimal approach to initial treatment of stable angina?

Authors:  Steven E Nissen
Journal:  Curr Cardiol Rep       Date:  2008-03       Impact factor: 2.931

6.  Comparative-effectiveness of revascularization versus routine medical therapy for stable ischemic heart disease: a population-based study.

Authors:  Harindra C Wijeysundera; Maria C Bennell; Feng Qiu; Dennis T Ko; Jack V Tu; Duminda N Wijeysundera; Peter C Austin
Journal:  J Gen Intern Med       Date:  2014-03-08       Impact factor: 5.128

Review 7.  Current Indications for Stenting: Symptoms or Survival CME.

Authors:  Suzanne V Arnold
Journal:  Methodist Debakey Cardiovasc J       Date:  2018 Jan-Mar

8.  Medical and Catheter-Based Therapies for Managing Stable Coronary Disease: Lessons From the COURAGE Trial.

Authors:  Dean J Kereiakes
Journal:  Curr Treat Options Cardiovasc Med       Date:  2009-02

Review 9.  Recent advances in the management of chronic stable angina II. Anti-ischemic therapy, options for refractory angina, risk factor reduction, and revascularization.

Authors:  Richard Kones
Journal:  Vasc Health Risk Manag       Date:  2010-09-07

10.  All-cause mortality benefit of coronary revascularization vs. medical therapy in patients without known coronary artery disease undergoing coronary computed tomographic angiography: results from CONFIRM (COronary CT Angiography EvaluatioN For Clinical Outcomes: An InteRnational Multicenter Registry).

Authors:  James K Min; Daniel S Berman; Allison Dunning; Stephan Achenbach; Mouaz Al-Mallah; Matthew J Budoff; Filippo Cademartiri; Tracy Q Callister; Hyuk-Jae Chang; Victor Cheng; Kavitha Chinnaiyan; Benjamin J W Chow; Ricardo Cury; Augustin Delago; Gudrun Feuchtner; Martin Hadamitzky; Joerg Hausleiter; Philipp Kaufmann; Ronald P Karlsberg; Yong-Jin Kim; Jonathon Leipsic; Fay Y Lin; Erica Maffei; Fabian Plank; Gilbert Raff; Todd Villines; Troy M Labounty; Leslee J Shaw
Journal:  Eur Heart J       Date:  2012-10-09       Impact factor: 29.983

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