11
Figure 6. Revascularization to Improve Symptoms of
Patients with SIHD
Persistent symptoms despite adequate trial
of Guideline-Directed Medical erapy
YES
Consider revascularization to
improve symptoms
Perform coronary angiography
YES
YES
Determine optimal method of
revascularization based upon, patient
preferences, anatomy, other clinical factors,
and local resources and expertise (Table 12)
YES
CABG Preferred
PCI Preferred
See text for
indications
See text for
indications
Guideline-Directed Medical erapy
continued in all patients
Continued Guideline-
Directed Medical
erapy with
careful monitoring
Go to Figure 4
NO
NO
NO
Potential revascularization procedure warranted
based on assessment of coexisting cardiac and
noncardiac factors and patient preferences?
Heart Team concurs that anatomy and
clinical factors indicate revascularization
may improve symptoms
Lesions correlated with evidence of ischemia
