Surgical Revascularization in Older Adults with Ischemic Cardiomyopathy

Authors

Sahil Khera, New York Medical CollegeFollow
Julio A. Panza, New York Medical CollegeFollow

DOI

10.1016/j.hfc.2017.02.010

Journal Title

Heart Failure Clinics

First Page

571

Last Page

580

Document Type

Article

Publication Date

7-1-2017

Department

Medicine

Abstract

With the totality of data supporting coronary artery bypass graft (CABG) for mortality benefit, symptomatic angina, and quality of life improvement, CABG should be a class I indication for patients with ischemic cardiomyopathy and severe left ventricular dysfunction. As the population ages and more patients are referred for CABG, a careful risk-benefit assessment should be an important part of the consideration regarding revascularization strategies. A heart team approach is critical to arrive at the best decision for each patient. Age, alone, should not be a contraindication because there are data to support a reduction in cardiovascular mortality with CABG in older patients.

Recommended Citation

Khera, S., & Panza, J. A. (2017). Surgical Revascularization in Older Adults with Ischemic Cardiomyopathy. Heart Failure Clinics, 13 (3), 571-580. https://doi.org/10.1016/j.hfc.2017.02.010

Publisher's Statement

Originally published in Heart Failure Clinics. The original material can be found here.