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Stable angina symptoms disappeared over time for many medically-treated patients without requiring medication changes or a revascularization procedure, according to CLARIFY registry data.
Among patients who had stable coronary artery disease (CAD) and angina, 39.6% had symptoms resolve at 1 year without coronary revascularization. By 5 years, 45.8% of patients were alive, event-free, and angina-free, reported Philippe Gabriel Steg, MD, of Hôpital Bichat in Paris, and colleagues.
The vast majority (84.4%) of individuals who had baseline angina controlled at 5-year follow-up had no changes in medication or revascularization. Only 11% had received increased antianginal treatment, and 4.5% had coronary revascularization. As most patients with angina are likely to experience resolution of symptoms, and as there is no demonstrated outcome benefit to routine revascularization, this study emphasizes the value of conservative management of stable CAD, the authors co
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