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Perspective

  • Managing the SIHD Patient in a Post-ISCHEMIA World   Dr O'Donoghue and interventional cardiologists Drs Al-Lamee and Tamis-Holland discuss how the trial results will affect the workup and treatment of patients with stable ischemic heart disease.
  • John Spertus, MD, on the Practice-Changing ISCHEMIA Trial   The ISCHEMIA investigator discusses the implications of the gasp-inducing trial comparing an invasive vs conservative medical therapy strategy in patents with stable ischemic heart disease.
  • AHA 2019 Signal of Harm From Impella Has an Easy Answer Two independent observational studies find worse outcomes with the Impella device compared with intra-aortic balloon pump. The time for a randomized controlled trial is now, says John Mandrola, MD.
  • AHA 2019 The ISCHEMIA Trial -- Cardiology Changes Today The AHA late-breaking trial comparing an invasive vs medical strategy for patients with stable ischemic disease validates Nobel prize-winning medical conservative Bernard Lown, writes John Mandrola, MD.