Faculty Collaboration Database

Revascularization and ventricular restoration in patients with ischemic heart failure: the STICH trial. Curr Opin Cardiol 2003 Nov;18(6):454-7

Date

11/05/2003

Pubmed ID

14597886

DOI

10.1097/00001573-200311000-00006

Scopus ID

2-s2.0-1342322780 (requires institutional sign-in at Scopus site)   47 Citations

Abstract

PURPOSE OF REVIEW: As techniques for the management of patients with ischemic heart failure have evolved, controversy has arisen with respect to the roles of revascularization and ventricular restoration procedures. This review addresses current thinking on the management of these patients and describes a prospective randomized trial that will have an impact on future treatment selection.

RECENT FINDINGS: Although the basis for improved survival with coronary artery bypass grafting lies in the viability of ischemic myocardium, nuclear medicine studies and stress echocardiography have failed to adequately select for tissues that are capable of recovery. Recent studies have suggested an additional benefit to combining ventricular restoration with bypass surgery. However, the role for these techniques has not been definitively established.

SUMMARY: The currently enrolling Surgical Treatment for Ischemic Heart Failure (STICH) trial promises to address these issues and thereby improve the management of patients with this disease.

Author List

Joyce D, Loebe M, Noon GP, McRee S, Southard R, Thompson L, Skrabal C, Youker K, Torre-Amione G

MESH terms used to index this publication - Major topics in bold

Coronary Artery Bypass
Heart Failure
Heart Ventricles
Humans
Myocardial Ischemia
United States
Ventricular Dysfunction, Left
Ventricular Function