The COURAGE (Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation) trial showed that coronary interventional procedures added little to optimal medical therapy with respect to the long-term outcome of patients with stable coronary disease when used as initial therapy. Detractors opine that: 1) the trial was unrealistic in design and the findings were not unexpected; 2) the use of coronary interventional procedures was suboptimal; and 3) the results of COURAGE are not applicable to current clinical practice. We herein reevaluate the evidence with regard to each of these points, and conclude that COURAGE indeed provides relevant new information to assist the practitioner in the appropriate management of patients with stable coronary disease.
COURAGE under fire: on the management of stable coronary disease. Publishing Authors By Initials
COURAGE under fire: on the management of stable coronary disease. Journal Published:
PUBLICATION TYPE: Journal Article
Journal: Journal of the American College of Cardiology
VOLUME: 50
Page Numbers: 1604-9
Journal Abbreviation: J. Am. Coll. Cardiol.
ISSN: 1558-3597
DAY: 17
MONTH: 09
YEAR: 2007
COURAGE under fire: on the management of stable coronary disease. Information
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LANGUAGE: eng
NlmUniqueID: 8301365
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Grant and Affiliation Information for COURAGE under fire: on the management of stable coronary disease.
AFFILIATION: Division of Cardiology, Cedars-Sinai Medical Center, and the David Geffen School of Medicine, University of California, Los Angeles, California, USA. gadiamond@pol.net
Country: United States
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MEDLINETA: J Am Coll Cardiol
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