Routine Revascularization versus Initial Medical Therapy for Stable Ischemic Heart Disease: A Systematic Review and Meta-Analysis of Randomized Trials

Review (14 RCTs;n=14,877) reported revascularisation was not linked to improved survival vs. medical therapy (RR=0.99, 95% CI 0.90-1.09) but was linked to lower risk of non-procedural MI and unstable angina with greater freedom from angina at expense of higher procedural MI rates