Épisode 33 : Traitement de la maladie coronarienne stable (étude ISCHEMIA)

Diffusé le 22 mai 2020

Dans cette 33e baladodiffusion, le Dr Luc Lanthier discute de stratégie d’intervention pour la maladie coronarienne stable (cardiopathie ischémique stable, angine stable), en plus de réviser la littérature médicale de mars et avril 2020.

Quiz clinique (2 min 08), article principal (2 min 35), critique (26 min 55), autres articles (36 min 20), réponse au quiz clinique (40 min 45)

Référence principale

Maron DJ, Hochman JS, Reynolds HR, Bangalore S, O'Brien SM, Boden WE, et al. Initial Invasive or Conservative Strategy for Stable Coronary Disease. N Engl J Med. 2020;382(15):1395-407. PubMed PMID : 32227755.

Infographie

Article résumé

Lanthier L, Huard G, Plourde ME, Cauchon M. Chez les sujets avec cardiopathie ischémique stable et ischémie modérée à sévère, est-ce que le cathétérisme cardiaque et la revascularisation coronarienne lorsque possible combinés à un traitement médical amènent un bénéfice clinique comparativement au traitement médical seul ? Rev Med Interne. 2020;41(7):504-505. PubMed PMID: 32674897

Articles associés

Antman EM, Braunwald E. Managing Stable Ischemic Heart Disease. N Engl J Med. 2020;382(15):1468-1470. PubMed PMID : 32227752.

Spertus JA, Jones PG, Maron DJ, O'Brien SM, Reynolds HR, Rosenberg Y, et al. Health-Status Outcomes with Invasive or Conservative Care in Coronary Disease. N Engl J Med. 2020;382(15):1408-19. PubMed PMID : 32227753.

Bangalore S, Maron DJ, O'Brien SM, Fleg JL, Kretov EI, Briguori C, et al. Management of Coronary Disease in Patients with Advanced Kidney Disease. N Engl J Med. 2020;382(17):1608-18. PubMed PMID : 32227756.

Spertus JA, Jones PG, Maron DJ, Mark DB, O'Brien SM, Fleg JL, et al. Health Status after Invasive or Conservative Care in Coronary and Advanced Kidney Disease. N Engl J Med. 2020;382(17):1619-28. PubMed PMID : 32227754.

BARI 2D Study Group. A randomized trial of therapies for type 2 diabetes and coronary artery disease. N Engl J Med. 2009;360(24):2503‑15. PubMed PMID : 19502645.

Boden WE, O’Rourke RA, Teo KK, Hartigan PM, Maron DJ, Kostuk WJ, et al. Optimal medical therapy with or without pci for stable coronary disease. N Engl J Med. 2007;356(15):1503‑16. PubMed PMID : 17387127.

Sedlis SP, Hartigan PM, Teo KK, Maron DJ, Spertus JA, Mancini GB, et al. Effect of PCI on Long-Term Survival in Patients with Stable Ischemic Heart Disease. N Engl J Med. 2015;373(20):1937-46. PubMed PMID : 26559572.

Al-Lamee R, Thompson D, Dehbi H-M, Sen S, Tang K, Davies J, et al. Percutaneous coronary intervention in stable angina (ORBITA): a double-blind, randomised controlled trial. Lancet. 2018;391(10115):31-40. PubMed PMID : 29103656.

De Bruyne B, Pijls NH, Kalesan B, Barbato E, Tonino PA, Piroth Z, et al. Fractional flow reserve-guided PCI versus medical therapy in stable coronary disease. N Engl J Med. 2012;367(11):991-1001. PubMed PMID : 22924638.

Xaplanteris P, Fournier S, Pijls NHJ, Fearon WF, Barbato E, Tonino PAL, et al. Five-Year Outcomes with PCI Guided by Fractional Flow Reserve. N Engl J Med. 2018;379(3):250-9. PubMed PMID : 29785878.

Investigators S-H, Newby DE, Adamson PD, Berry C, Boon NA, Dweck MR, et al. Coronary CT Angiography and 5-Year Risk of Myocardial Infarction. N Engl J Med. 2018;379(10):924-33. PubMed PMID : 30145934.

Patel MR, Peterson ED, Dai D, Brennan JM, Redberg RF, Anderson HV, et al. Low diagnostic yield of elective coronary angiography. N Engl J Med. 2010;362(10):886‑95. PubMed PMID : 20220183.

Ko DT, Tu JV, Austin PC, Wijeysundera HC, Samadashvili Z, Guo H, et al. Prevalence and extent of obstructive coronary artery disease among patients undergoing elective coronary catheterization in New York State and Ontario. JAMA. 2013;310(2):163-9. PubMed PMID : 23839750.

Capsule méthodologique

Pocock SJ, Stone GW. The Primary Outcome Fails - What Next? N Engl J Med. 2016;375(9):861-70. PubMed PMID : 27579636.

Autres articles d'intérêt récents

Agnelli G, Becattini C, Meyer G, Munoz A, Huisman MV, Connors JM, et al. Apixaban for the Treatment of Venous Thromboembolism Associated with Cancer. N Engl J Med. 2020;382(17):1599-607. PubMed PMID : 32233112.

Gimbel M, Qaderdan K, Willemsen L, Hermanides R, Bergmeijer T, de Vrey E, et al. Clopidogrel versus ticagrelor or prasugrel in patients aged 70 years or older with non-ST-elevation acute coronary syndrome (POPular AGE): the randomised, open-label, non-inferiority trial. Lancet. 2020;395(10233):1374-81. PubMed PMID : 32334703.

Timal RJ, Kooiman J, Sijpkens YWJ, de Vries J-PPM, Verberk-Jonkers IJAM, Brulez HFH, et al. Effect of no prehydration vs sodium bicarbonate prehydration prior to contrast-enhanced computed tomography in the prevention of postcontrast acute kidney injury in adults with chronic kidney disease: the kompas randomized clinical trial. JAMA Intern Med. 2020;180(4):533-41. PubMed PMID : 32065601.

Guides de pratique récents

Davenport MS, Perazella MA, Yee J, Dillman JR, Fine D, McDonald RJ, et al. Use of Intravenous Iodinated Contrast Media in Patients with Kidney Disease: Consensus Statements from the American College of Radiology and the National Kidney Foundation. Radiology. 2020;294(3):660-8. PubMed PMID : 31961246.

Fine NM, Davis MK, Anderson K, Delgado DH, Giraldeau G, Kitchlu A, et al. Canadian Cardiovascular Society/Canadian Heart Failure Society Joint Position Statement on the Evaluation and Management of Patients With Cardiac Amyloidosis. Can J Cardiol. 2020;36(3):322-34. PubMed PMID : 32145862.

Gardner TB, Adler DG, Forsmark CE, Sauer BG, Taylor JR, Whitcomb DC. ACG Clinical Guideline: Chronic Pancreatitis. Am J Gastroenterol. 2020;115(3):322-39. PubMed PMID : 32022720.

Crouser ED, Maier LA, Wilson KC, Bonham CA, Morgenthau AS, Patterson KC, et al. Diagnosis and Detection of Sarcoidosis. An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med. 2020;201(8):e26-e51. PubMed PMID : 32293205.

Basura GJ, Adams ME, Monfared A, Schwartz SR, Antonelli PJ, Burkard R, et al. Clinical Practice Guideline: Meniere's Disease. Otolaryngol Head Neck Surg. 2020;162(2_suppl):S1-S55. PubMed PMID : 32267799.

Ye Z, Rochwerg B, Wang Y, Adhikari NK, Murthy S, Lamontagne F, et al. Treatment of patients with nonsevere and severe coronavirus disease 2019: an evidence-based guideline. CMAJ. 2020;192(20):E536-45. PubMed PMID : 32350002.

Bhimraj A, Morgan RL, Shumaker AH, Lavergne V, Baden L, Cheng VC, et al. Infectious Diseases Society of America Guidelines on the Treatment and Management of Patients with COVID-19. Clin Infect Dis. 2020 Apr 27. pii: ciaa478. doi: 10.1093/cid/ciaa478. PubMed PMID : 32338708.

Référence du quiz clinique

Fitchett DH, Goodman SG, Leiter LA, Lin P, Welsh R, Stone J, Grégoire J, Mcfarlane P, Langer A. Secondary Prevention Beyond Hospital Discharge for Acute Coronary Syndrome: Evidence-Based Recommendations. Can J Cardiol. 2016 Jul;32(7 Suppl):S15-34. PubMed PMID : 27342696.

Puymirat E, Riant E, Aissaoui N, Soria A, Ducrocq G, Coste P, et al. Β blockers and mortality after myocardial infarction in patients without heart failure: multicentre prospective cohort study. BMJ 2016;354:i4801. PubMed PMID : 27650822.