Disclaimer
is pocket guide attempts to define principles of practice that should produce high-quality
patient care. It is applicable to specialists, primary care, and providers at all levels. is
pocket guide should not be considered exclusive of other methods of care reasonably directed at
obtaining the same results. e ultimate judgment concerning the propriety of any course of
conduct must be made by the clinician aer consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated
with the distributor of this clinical reference tool.
Source
Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM, Bischoff JM, Bittl JA,
Cohen MG, DiMaio JM, Don CW, Fremes SE, Gaudino MF, Goldberger ZD, Grant
MC, Jaswal JB, Kurlansky PA, Mehran R, Metkus TS, Nnacheta LC, Rao SV, Sabik JF,
Sellke FW, Sharma G, Yong CM, Zwischenberger BA; 2021 AHA/ACC/ASE/CHEST/
SAEM/SCCT/SCMR Guideline for Coronary Artery Revascularization: a report of
the American College of Cardiolog y/American Heart Association Joint Committee on
Clinical Practice Guidelines. J Am Coll Cardiol. 2021; doi:10.1016/j.jacc.2021.09.006
Copublished in Circulation. 2021; doi:10.1161/CIR.0000000000001038.
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Abbreviations
ACS, acute coronary syndrome; ACT, activated clotting time; AKI, acute kidney injury;
BIMA, bilateral internal mammary artery; BMS, bare-metal stent; CABG, coronary
artery bypass gra; CAD, coronary artery disease; CKD, chronic kidney disease; COR,
Class of Recommendation; CTO, chronic total occlusion; CVA, cerebrovascular accident;
CVD, cardiovascular disease; DAPT, dual antiplatelet therapy; DES, drug-eluting
stent; EF, ejection fraction; FFR, fractional flow reserve; GDMT, guideline-directed
medical therapy; iFR, instantaneous wave-free ratio; IMA, internal mammary artery;
ISR, in-stent restenosis; IV, intravenous; IVUS, intravascular ultrasound; LAD, le
anterior descending ; LIMA, le internal mammary artery; LOE, Level of Evidence;
MELD, Model for End-Stage Liver Disease; MI, myocardial infarction; MUST,
Malnutrition Universal Screening Tool; NSTE-ACS, non-ST-segment-elevation acute
coronary syndrome; OCT, optical coherence tomography; PCI, percutaneous coronary
intervention; SC, subcutaneous; SCAD, spontaneous coronary artery dissection; SIHD,
stable ischemic heart disease; STEMI, ST-segment-elevation myocardial infarction;
SVG, saphenous vein gra; SYNTAX, Synerg y Between PCI With TAXUS and Cardiac
Surgery; TEE, transesophageal echocardiography; UFH, unfractionated heparin; VT,
ventricular tachycardia