Improving Terminology to Describe Coronary Artery Procedures: JACC Review Topic of the Week

Torsten Doenst*, Robert O. Bonow, Deepak L. Bhatt, Volkmar Falk, Mario Gaudino

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Coronary artery disease (CAD) is treated with medical therapy with or without percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG). The latter 2 options are commonly referred to as “myocardial revascularization” procedures. We reason that this term is inappropriate because it is suggestive of a single treatment effect of PCI and CABG (ie, the reestablishment of blood flow to ischemic myocardium) and obscures key mechanisms, such as the improvement in coronary flow capability in the absence of ongoing ischemia, the reperfusion in the presence of ischemia, and the prevention of myocardial infarction from CAD progression. We review the current evidence on the topic and suggest the use of a purely descriptive terminology (“invasive treatment by PCI or CABG”) which has the potential to improve clinical decision making and guide future trial design.

Original languageEnglish (US)
Pages (from-to)180-188
Number of pages9
JournalJournal of the American College of Cardiology
Volume78
Issue number2
DOIs
StatePublished - Jul 13 2021

Keywords

  • cardiac surgery
  • coronary flow reserve
  • coronary intervention
  • hibernation
  • ischemia
  • reperfusion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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