Meta-analysis

Medical therapy and outcomes in REVIVED-BCIS2 and STICHES: an individual patient data analysis

Eur Heart JPublished

  • Pooled individual participant data analysis of two randomised trials
  • multicentre
  • adjusted
  • 98.3% completeness of follow-up for the primary outcome

Authors' conclusion

Patients with ischaemic cardiomyopathy receiving medical therapy in REVIVED-BCIS2 had better outcomes than those in STICHES, with or without CABG surgery.

Study context

Population
Patients with LVEF ≤35% and CAD receiving medical therapy
Participants
1,912 patients · 2 RCTs
Comparison
REVIVED-BCIS2 medical therapy vs STICHES medical therapy
Outcome
All-cause death or HF hospitalization
Follow-up
Over all available

Pooled result

As reported in the abstract

Adjusted hazard ratio

0.60

95% CI 0.48–0.74

P < 0.001

REVIVED-BCIS2 medical therapy vs STICHES medical therapy
adjusted HR 0.60 (95% CI 0.48–0.74); P < 0.001

Further pooled results

Primary outcome, percutaneous coronary intervention (PCI) (REVIVED-BCIS2) vs coronary artery bypass grafting (CABG) (STICHES)

PCI in REVIVED-BCIS2 less likely to have a primary outcome event than CABG in STICHES

Primary outcome, CABG (STICHES) vs medical therapy alone (REVIVED-BCIS2)

Adjusted outcomes worse with CABG in STICHES than medical therapy alone in REVIVED-BCIS2

Original publication

Medical therapy and outcomes in REVIVED-BCIS2 and STICHES: an individual patient data analysis. Eur Heart J. Published 6 March 2025. doi:10.1093/eurheartj/ehaf080

Summarised from the published abstract; every number is checked against it