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Surgical Treatment for Ischemic Heart Failure (STICH) Trial

Friday, September 13, 2013

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Source Name: JACC Heart Failure


Peter Carson; John Wertheimer; Alan Miller; Christopher M. O'Connor; Ileana L. Pina; Craig Selzman; Carla Sueta; Lilin She; Deborah Greene; Kerry L. Lee; Robert H. Jones; Eric J. Velazquez

The STICH trial compares medical therapy to medical therapy + CABG for ischemic cardiomyopathy.  In this study of over 1,200 there were 462 deaths during a median f/u period of nearly 5 years.  CABG reduced the risk of sudden death and death due to pump failure; overall cardiovascular death was reduced by CABG but not significantly (p=0.09).  There was a substantial early increase in mortality in pts undergoing CABG; the protective effects of CABG were evident primarily after 2 years.

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