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Dr. Bill Boden and Dr. C. Michael Gibson discuss the results of the COURAGE trial |
Dr. Bill Boden and Dr. C. Michael Gibson discuss the results of the COURAGE trial (comparison of PCI and optimal medical therapy). Dr. Boden describes the effect the results of the COURAGE trial have had on the number of patients visiting cath labs in the US. The type of patient that the results of the COURAGE trial should be applied to is addressed (does not apply to STEMI patients). The reasons for conducting the COURAGE trial is explained. Dr. Boden addresses the criticism of the COURAGE trial that it was composed of largely VA patients, so it may not be representative of the overall population. The definition of myocardial infarction (MI) used in the COURAGE trial is explained. The stent selection for the trial is discussed. The correlation between angina relief and biomarker positivity is discussed, as it applies to the COURAGE trial. Dr. Boden explains how the results of COURAGE can guide doctors in treating their patients. The future analyses expected from the COURAGE trial are described.
Keywords: Dr. Bill Boden, Dr. C. Michael Gibson, COURAGE trial, coronary angiografy, ST elevation MI.
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