40
Treatment
7.4.3. Revascularization for CAD
COR LOE
Recommendation
1 B-R 1. In selected patients with HF, reduced EF (EF ≤35%), and
suitable coronary anatomy, surgical revascularization plus
GDMT is beneficial to improve symptoms, cardiovascular
hospitalizations, and long-term all-cause mortality.
Optimization of GDMT
before an intervention
for secondary MR
(1)
Transcatheter
edge-to-edge
MV repair
(2a)
NYHA II–IV;
HFrEF;
severe secondary MR
NYHA II–IV;
severe secondary MR;
suitable anatomy;
LVEF 20%–50%,
LVESD ≤70 mm;
PASP ≤70 mm Hg
Select patients with
HF with LVEF ≤35% and
suitable coronary anatomy
Surgical
revascularization
(1)
Wireless monitoring
of PA pressure
by implanted
hemodynamic monitor
(2b)
NYHA III; history of HF
hospitalization or elevated
natriuretic peptide levels
Figure 9. Additional Device Therapies
