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Slide Lecture Programs
2007 Core Curriculum
Myocardial Ischemia Redefined: Optimal Care in CAD
October 9, 2007


III: Clinical Trial Update Slide 68


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COURAGE: Study design

  • COURAGE was a multicenter trial of patients with documented ischemia and angiographically confirmed single or multivessel CAD:
    • Stenosis of at least 70% in at least one proximal epicardial artery and objective evidence of myocardial ischemia
    • One coronary stenosis of at least 80% and classic angina without provocative testing
  • A total of 2287 patients were randomized to a strategy of PCI plus optimal medical therapy (ie, intensive pharmacologic therapy plus lifestyle intervention) (n = 1149) or optimal medical therapy alone (n = 1138).
  • The primary outcome was death from any cause and nonfatal MI.
  • The secondary outcome was a composite of death, nonfatal MI, and stroke.
  • The median follow-up period was 4.6 years.


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