Conservative versus invasive treatment of the patient with chronic occluded coronary arteries
- Resource Type
- Authors
- Holck, Emil Nielsen; Tilsted, Hans-Henrik; Veien, Karsten Tange; Christiansen, Evald Høj
- Source
- Holck, E N, Tilsted, H-H, Veien, K T & Christiansen, E H 2022, ' konservativ versus invasiv behandling af patiente med kronisk lukkede kar ', Ugeskrift for Laeger, bind 184, nr. 34 .
- Subject
- Treatment Outcome
Coronary Artery Bypass/adverse effects
Chronic Disease
Coronary Vessels/diagnostic imaging
Humans
Coronary Angiography
Percutaneous Coronary Intervention/adverse effects
- Language
- Danish
Patients with chronic total occluded coronary arteries (CTO) have worse prognosis than patients who do not have CTO. Medical therapy before embarking on invasive treatment is recommended. Invasive management with percutaneous coronary intervention or coronary artery bypass grafting is reserved for patients who receive medical treatment and have resistant angina and reversible ischaemia. Treatment should always be decided in collaboration with the patient, cardiologists, and cardio-thoracic surgeons. Follow-up treatment in the primary sector should include cardiac rehabilitation and reconsideration of medical therapy.