In the previously published DECREASE -V trial, there was no post-operative benefit to pre-operative revascularization ofpatients with extensive ischemia (on stress testing) before major vascular surgery. At 2.8 year median f/u, there was still no significant difference between the revascularized or medical management groups in survival (64% vs 61%) or survival free death/MI/revascularization (42% vs 49%). This is in line with the current ACC/AHA guidelines which recommend reserving revascularization only for patients with unstable cardiac disease (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.