The Japanese Society for Cardiovascular Surgery, The Japanese Association for Thoracic Surgery and The Japanese Association for Coronary Artery Surgery Do Not Endorse Chapter 7.1 in the 2021 ACC/AHA/SCAI Coronary Revascularization Guidelines.
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Abstract
The new ACC/AHA/SCAI Coronary Revascularization Guidelines (doi: 10.1161/ CIR.0000000000001038) downgraded coronary artery bypass grafting (CABG) from a class of recommendation (COR) I to IIb in patients with stable ischemic heart disease (SIHD), normal ejection fraction, significant stenosis in 3 major coronary arteries (with or without proximal LAD), and anatomy suitable for CABG. The ISCHEMIA trial was cited by the guidelines committee to support these downgrades.
Luciana Domingues Conceição, Isadora Augusta da Silveira, Gustavo Giacomelli Nascimento, Rafael Guerra Lund, Ricardo Henrique Alves da Silva, Fábio Renato Manzolli Leite
Mohamed El-Khalawany, Hussein M M Hassab-El-Naby, Ahmed Mustafa Mousa, Ahmed Sameh, Mahmoud A Rageh, Rasha Mahmoud Genedy, Aya Magdy Hosny, Marwa A Aboelmagd, Soha Aboeldahab
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