Heart failure & cardiomyopathies
Revascularization of coronary artery disease in heart failure: a European Journal of Heart Failure expert consensus statement
Recommendations
As issued by the authors
Whether a patient with HF and CAD should have revascularization, and which procedure, should be discussed by the heart team given limited and conflicting evidence.
In all HF cases, establishing and optimizing GDMT and device therapy is required.
When HF symptoms dominate despite GDMT, additional invasive procedures are not indicated.
When angina persists despite GDMT and device therapy, revascularization should be considered.
Choice of revascularization procedure should be discussed in the heart team, considering symptoms and ischemic burden, surgical risk, coronary complexity and applicable HF treatment.
Original publication
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