0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Angioplasty vs Bypass Surgery in Patients With Multivessel Coronary Artery Disease-Reply

Robert Frye, MD; George Sopko, MD; Richard Holubkov, PhD; Katherine M. Detre, MD, DrPH
JAMA. 1997;278(2):115. doi:10.1001/jama.1997.03550020047026.
Text Size: A A A
Published online

In Reply.  —Drs Guerra and Viswanath question the relevance to current practice of our findings from the BARI study of higher repeat revascularization rates in patients assigned to PTCA vs those assigned to CABG. It is possible, based on the findings from STRESS trials,1,2 that stent use could have reduced the need for repeat revascularization in diabetic patients in the BARI trial. However, even if stents had been available in the BARI, it seems highly unlikely based on the STRESS results that rates of repeat revascularization would have been similar for patients who received CABG or PTCA.In the STRESS trials, the reported rate of fi-month target lesion revascularization (repeat PTCA or CABG) among patients who received stents was 13%.2 This rate was only 2% in BARI patients assigned to CABG. Thus, despite a markedly worse baseline profile, including more extensive coronary disease, BARI patients who initially received CABG had

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();