Vnitr Lek 2011, 57(5):497-501

The decrease in morbidity and mortality of patients with chronic forms of ischemic heart disease is the result of conservative treatment

L. Kotík

I. interní klinika Fakultní Thomayerovy nemocnice a IPVZ Praha, přednosta prof. MUDr. Štefan Alušík, CSc.

Article presents actual comparison of therapeutic methods for patients with chronic coronary artery disease and their influence on morbidity and mortality. It calls attention to the insufficiently presented fact, that invasive methods, like percutaneous and surgical revascularization, despite great expectations, have not proved to lower morbidity and mortality in large randomized studies. In contrary several groups of drugs proved their efficiency many times. Paradoxically, the cheapest approach, life style intervention, seems to be the most efficient method for prognosis improvement of patients with chronic coronary artery disease.

Keywords: chronic coronary artery disease; invasive and conservative therapy; morbidity and mortality

Received: October 24, 2010; Accepted: January 18, 2011; Published: May 1, 2011  Show citation