Patient Selection
Patients with angina or angina equivalents who:7,11,12
- No longer respond to medical therapy
- Restrict their activities to avoid angina symptoms
- Are unwilling to undergo additional invasive revascularization procedures
- Have LVD (EF <35%)
- Have co-morbid conditions that increase the risk of revascularization
procedures (e.g., diabetes, heart failure, pulmonary disease,
renal dysfunction)
- Have coronary anatomy unsuitable for surgical or catheter-based
revascularization
- Are considered inoperable or at high risk of operative/interventional
complications
- Suffer with microvascular angina (Cardiac Syndrome X)
Heart failure patients in a euvolemic state with:7,9,10
- Ischemic or idiopathic cardiomyopathy
- LVD (EF <35%)
- Co-morbid conditions that increase the risk of complications of revascularization procedures
Diabetic patients known to be at greater risk for post-procedural complications.13
Elderly patients at high risk for morbidity and mortality associated with invasive coronary interventions.14
