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Medical News and Perspectives
May 9, 2007

Cardiologists Get Wake-up Call on Stents

JAMA. 2007;297(18):1967-1968. doi:10.1001/jama.297.18.1967

NEW ORLEANS—Patients with stable coronary artery disease treated with stents and optimal medical therapy fare no better than those who receive optimal medical therapy alone, according to new findings from a large clinical trial.

For many cardiologists, the results serve as a wake-up call that they need to reevaluate how frequently they offer stenting (which has slight risks associated with the intervention itself as well as stent-associated thrombotic events) as a first option for relief of stable angina. The data come from the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial, reported here in March at the annual conference of the American College of Cardiology.

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