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April 18, 20260 citations

Assessment of Indications for Percutaneous Coronary Intervention in Chronic Coronary Syndrome

Assessment of Indications for Percutaneous Coronary Intervention: A Multicenter Analysis after the Diagnosis of Chronic Coronary Syndrome.

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Why the study?

Does the current practice of elective PCI for chronic coronary syndrome adhere to guideline recommendations for proof of ischemia?

Population

Patients undergoing elective PCI after the diagnosis of chronic coronary syndrome

Design

Multicenter analysis

Key result

Indications for elective percutaneous coronary intervention show poor adherence to current guidelines, particularly due to the underutilization of non-invasive or invasive proof of ischemia.

Authors

UZUwe ZeymerNKNatalia KelschKWKarl Werdan

Discussion

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Overview

Clinicians should document ischemia before elective PCI; reinforces guidelines and value of peer review for indications.

Key Points

  • This analysis aims to evaluate the quality of indications for elective percutaneous coronary interventions (PCI) in patients with chronic coronary syndrome.
  • Conducted a multicenter analysis across various hospitals.
  • Assessed adherence to current guidelines for elective PCI indications.
  • Evaluated frequency of ischemia assessments, both non-invasive and invasive.
  • Identified significant gaps in adherence to current PCI recommendations.
  • Highlighted the need for more frequent ischemia testing before PCI.
  • Emphasized the importance of peer review in improving intervention indications.

Structured PICO

Does the current practice of elective PCI for chronic coronary syndrome adhere to guideline recommendations for proof of ischemia?

P
Population
Patients with chronic coronary syndrome undergoing elective percutaneous coronary intervention (PCI)
I
Intervention
Elective percutaneous coronary intervention (PCI)
O
Outcome
Quality of indications and adherence to German and international guidelines (specifically proof of ischemia)

The study highlights a significant gap in guideline adherence for elective PCI indications, specifically the underutilization of ischemia testing prior to intervention.

Cite This Study

Zeymer et al. (2026) studied this question. Indications for elective percutaneous coronary intervention show poor adherence to current guidelines, particularly due to the underutilization of non-invasive or invasive proof of ischemia.

synapsesocial.com/papers/69e3216540886becb65409f1https://doi.org/10.3238/arztebl.m2026.0041
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1ACCF/SCAI/STS/AATS/AHA/ASNC 2009 Appropriateness Criteria for Coronary Revascularization2009 · 449 citations
  2. 2PTCA registry of German community hospitals1997 · 63 citations
  3. 3Optimal Medical Therapy with or without PCI for Stable Coronary Disease2007 · 4,720 citations
  4. 4PCI and CABG for Treating Stable Coronary Artery Disease2019 · 529 citations
  5. 52023 ESC Guidelines for the management of acute coronary syndromes2023 · 5,026 citations