The role of revascularization in chronic coronary disease: a reappraisal stemming from the most recent AHA/ACC/ACCP/ASPC/NLA/PCNA guidelines Article Summary

Abstract

In the recently published clinical practice guidelines by the American Heart Association/American College of Cardiology, a central part has been dedicated to the revascularization, as new evidence came up increasing our knowledge on this relevant topic. Providing symptom relief, preventing major adverse cardiovascular events and improving long-term survival is ultimately the aim of coronary revascularization. Such ambitious goals should be actively pursued, as suggested thoroughly in the text, sharing the clinical decision making with the patient. Aim of this commentary is to highlight critical messages from the recent guideline, especially in complex clinical scenarios such as angiographically intermediate coronary artery stenoses, significant left main disease and multivessel disease with severe left ventricular dysfunction.

Keywords

• chronic coronary heart disease
• percutaneous coronary intervention
• coronary bypass surgery
• coronary revascularization
• guidelines