TY - JOUR
T1 - Mechanisms and diagnostic evaluation of persistent or recurrent angina following percutaneous coronary revascularization
T2 - European heart journal
AU - Crea, F
AU - Bairey Merz, CN
AU - Beltrame, JF
AU - Berry, C
AU - Camici, PG
AU - Kaski, JC
AU - Ong, P
AU - Pepine, CJ
AU - Sechtem, U
AU - Shimokawa, H
AU - (COVADIS), on behalf of the Coronary Vasomotion Disorders International Study Group
PY - 2019
Y1 - 2019
N2 - Persistence or recurrence of angina after a percutaneous coronary intervention (PCI) may affect about 20-40% of patients during short-medium-term follow-up. This appears to be true even when PCI is 'optimized' using physiology-guided approaches and drug-eluting stents. Importantly, persistent or recurrent angina post-PCI is associated with a significant economic burden. Healthcare costs may be almost two-fold higher among patients with persistent or recurrent angina post-PCI vs. those who become symptom-free. However, practice guideline recommendations regarding the management of patients with angina post-PCI are unclear. Gaps in evidence into the mechanisms of post-PCI angina are relevant, and more research seems warranted. The purpose of this document is to review potential mechanisms for the persistence or recurrence of angina post-PCI, propose a practical diagnostic algorithm, and summarize current knowledge gaps. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2019. For permissions, please email: journals.permissions@oup.com.
AB - Persistence or recurrence of angina after a percutaneous coronary intervention (PCI) may affect about 20-40% of patients during short-medium-term follow-up. This appears to be true even when PCI is 'optimized' using physiology-guided approaches and drug-eluting stents. Importantly, persistent or recurrent angina post-PCI is associated with a significant economic burden. Healthcare costs may be almost two-fold higher among patients with persistent or recurrent angina post-PCI vs. those who become symptom-free. However, practice guideline recommendations regarding the management of patients with angina post-PCI are unclear. Gaps in evidence into the mechanisms of post-PCI angina are relevant, and more research seems warranted. The purpose of this document is to review potential mechanisms for the persistence or recurrence of angina post-PCI, propose a practical diagnostic algorithm, and summarize current knowledge gaps. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2019. For permissions, please email: journals.permissions@oup.com.
U2 - 10.1093/eurheartj/ehy857
DO - 10.1093/eurheartj/ehy857
M3 - Article
VL - 40
SP - 2455
EP - 2462
JO - European Heart Journal
JF - European Heart Journal
SN - 0195-668X
IS - 29
ER -