What evidence-based medical management might explain the generally low mortality risk that has been found in several studies of patients with established SIHD?
Evidence-based medical management, including adherence to appropriate lifestyle changes, and possibly appropriate revascularization in patients with ACS or patients identified as high risk with worsening clinical status or persistent symptoms despite GDMT, might explain the generally low mortality risk that has been found in several studies of patients with established SIHD.57,58,366,1216,1217 The incidence of adverse events during longitudinal follow-up of SIHD has declined and can be expected to vary with evolving medical management and with accruing information about the outcomes of revascularization.295,898,1163,1217 1219