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ISCHAEMIC HEART DISEASE
Clinical trials comparing coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) with stents suggest no difference in most patients with significant disease in two or three vessels in the important outcomes of death and recurrent myocardial infarctions. Registry data provides information on larger cohorts of real life patients. New York’s cardiac registries identified 37 212 patients with multivessel disease who underwent CABG and 22 102 patients with multivessel disease who underwent PCI from 1 January 1997 to 31 December 2000. The rates of death and subsequent revascularisation within three years after the procedure in various groups of patients according to the number of diseased vessels and the presence or absence of involvement of the left anterior descending (LAD) coronary artery were assessed. Risk adjusted survival rates were significantly higher among patients who underwent CABG than among those who received a stent in all of the anatomical subgroups studied.
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