What data exist at present on revascularization in patients with CAD and LV systolic dysfunction?
The data that exist at present on revascularization in patients with CAD and LV systolic dysfunction are more robust for CABG than for PCI, although data from contemporary RCTs in this patient population are lacking. Several studies have demonstrated a similar survival rate in patients having CABG and PCI, while others have shown that those undergoing CABG had better outcomes. The choice of revascularization in patients with CAD and LV systolic dysfunction is best based on clinical variables such as coronary anatomy, presence of diabetes mellitus, presence of CKD, magnitude of LV systolic dysfunction, patient preferences, clinical judgment, and consultation between the interventional cardiologist and the cardiac surgeon.