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