About this trial
Randomized trial to compare clinical outcomes between revascularization versus medical treatment alone in patients with ischemic cardiomyopathy and left ventricular dysfunction.
Eligibility criteria
Qualifiers
Subject must be at least 19 years of age
Patients with stage C heart failure and left ventricular ejection fraction<40%
Patients with significant coronary artery stenosis (diameter stenosis>50% with proven inducible myocardial ischemia by invasive physiologic assessment)
Coronary artery disease is amenable for percutaneous coronary intervention (PCI)
Disqualifiers
Myocardial infarction by universal definition within 4 weeks of randomization
Non-viable myocardium in myocardial viability test (cardiac magnetic resonance, dobutamine-stress echocardiography, delayed single-photon emission computerized tomography, or aneurysmal change in echocardiography)
Target lesions not amenable for PCI by operators' decision
Patients who need left ventricular assisted device (LVAD) or heart transplantation at the time of randomization
Trial design
Treatments tested in this trial
- Percutaneous coronary intervention