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Comment & Response
May 3, 2016

Treatment of Patients With Stable Ischemic Heart Disease—Reply

Author Affiliations
  • 1New York University School of Medicine, New York
  • 2Stanford University School of Medicine, Stanford, California

Copyright 2016 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2016;315(17):1905-1906. doi:10.1001/jama.2016.0698

In Reply Drs Civeira and Mateo-Gallego point out the contradictory messages between our article and the article by Polonsky et al1 and state that “contradictory messages [on revascularization] may contribute to this important problem [of inappropriate coronary revascularization].” The concern stems from a case described by Polonsky et al of a 53-year-old man with intermediate pretest probability of coronary artery disease and mild angina who had excellent work capacity and low prognostic risk on an ETT but 1.5-mm downsloping ST-segment depressions in multiple leads that began during recovery. He was referred for coronary angiography, found to have multivessel disease, and underwent CABG surgery.

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