21
Revascularization to Improve Survival in SIHD Compared
With Medical Therapy
COR LOE
Recommendations
Single- or double-vessel disease not involving the proximal LAD
3: No
benefit
B-R 8. In patients with SIHD, normal left ventricular ejection
fraction, and 1- or 2-vessel CAD not involving the proximal
LAD, coronary revascularization is NOT recommended to
improve survival.
3: Harm B-NR 9. In patients with SIHD who have ≥1 coronary arteries that are
not anatomically or functionally significant (<70% diameter
of non-left main coronary artery stenosis, FFR >0.80),
coronary revascularization should NOT be performed with
the primary or sole intent to improve survival.
Revascularization in SIHD (cont'd)
(cont'd)