Myocardial revascularization in ischaemic cardiomyopathy: routine practice vs. scientific evidence

Factors contributing to the decision for coronary revascularization in patients with ischaemic cardiomyopathy. According to existing evidence, coronary artery bypass graft should be considered the revascularization strategy of choice in patients with ischaemic cardiomyopathy, improving prognosis although at prolonged follow-up. However, in patients with unfavourable clinical characteristics and unsuitable coronary anatomy, particularly in the presence of otherwise uncontrolled anginal chest pain, PCI may become a reasonable alternative for symptom control. CAD, coronary artery disease; EF, ejection fraction; ESVI, end-systolic volume index.