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Letters Coronary artery disease

Case for angioplasty to treat angina

BMJ 2007; 334 doi: (Published 19 April 2007) Cite this as: BMJ 2007;334:813
  1. Martyn R Thomas, president, British Cardiovascular Intervention Society
  1. King's College Hospital, London SE5 9RS
  1. mttwins{at}

    The COURAGE trial results show that patients with stable coronary artery disease who have a good quality of life while receiving medical treatment do not require an angioplasty.1 Coronary angioplasty in the United Kingdom is generally used to treat stable patients who have angina while receiving medical treatment. This trial therefore has little relevance to UK practice.

    Of patients randomised, 43% …

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