N Engl J Med November 2015 PMID 26559572

Effect of PCI on Long-Term Survival in Patients with Stable Ischemic Heart Disease.

Steven P Sedlis, Pamela M Hartigan, Koon K Teo, David J Maron, John A Spertus, G B John Mancini, William Kostuk, Bernard R Chaitman, Daniel Berman, Jeffrey D Lorin, Marcin Dada, William S Weintraub, William E Boden

Mentions

68
Peak: 10 in Nov 2019
across 5 sources since Nov 2015

Extended reach

182,726
potential audience

Total likes

199

Video views

9,432

Mentions per month

Nov 2015 – Feb 2024

Where it's discussed

  • Facebook39 posts
  • X / Twitter14 posts
  • News8 articles
  • Blogs5 articles
  • YouTube2 videos

AI synopsis

What people are saying

Discussions around the article are characterized by a focus on detailed trial data and long-term survival rates, such as mentioning the 15-year survival figures from COURAGE. Phrases like 'spin' and references to specific data points reflect a critical tone and active engagement with the scientific content, illustrating how users are deeply analyzing the significance of PCI's long-term benefits.

AgreementModerate agreement

Most discussions agree that the long-term benefits of PCI are limited, referencing the COURAGE trial data and emphasizing that PCI does not significantly improve survival over medical therapy alone.

InterestModerate interest

Participants show moderate interest, engaging with detailed trial results and long-term follow-up data, rather than broad or superficial discussions.

EngagementModerate engagement

Conversations include references to specific datasets, trials, and statistical findings, indicating active weighing of evidence and implications.

ImpactModerate impact

The discussion appears to influence opinions about clinical decision-making and guidelines, highlighting the importance of the findings in treatment choices.

Abstract in brief

  • The study compared long-term survival in patients with stable ischemic heart disease who received either optimal medical therapy alone or combined with PCI, and found no significant difference in survival rates over up to 15 years.
  • Extended follow-up data showed similar survival outcomes between the two groups, with roughly equal mortality rates, suggesting PCI does not improve long-term survival in these patients.
  • Overall, the results indicate that while PCI can relieve angina, it does not provide a survival benefit compared to medical therapy alone for patients with stable ischemic heart disease.]

Top posts

Most liked on X and Bluesky
John Mandrola, MD
@drjohnm · X

The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 years > https://t.co/WqeHnzIV1l #aha19

Nov 16, 2019 · 36 likes · 9 shares · 69,008 followers View post →
Less-Is-More Cardiologist
@DavidLBrownMD · X

@djc795 @bogdienache @boback @BobDreyfuss2017 @iamritu @mad_sters @ProfDFrancis @rallamee @DrJHoward @mshunshin @MikeTPhD @drjohnm @rwyeh @imperialcollege Then you would have used the COURAGE 10-year data which is 53% of the original cohort? https://t.co/IfZmfK5C0H

Feb 20, 2020 · 3 likes · 22,242 followers View post →
Yuri Pride
@yuripridemd · X

@ajaykirtane @webmd11 P.P.P.S. Ha! I was right! 15-year survival after TKR 66.6%. COURAGE 15-year survival was 75% in both arms. Now tell me which disease is more deadly! (I jest, of course) https://t.co/WzTiNk2f6J https://t.co/Sco5FJObON

Dec 7, 2019 · 3 likes · 3,839 followers View post →
Boback Ziaeian
@boback · X

A similar publication with long-term #COURAGE follow-up was published in the @nejm in 2015, but did not focus on the number of lesions or quantifying severity of ischemia on prognosis. https://t.co/X7pwAAWoDK

Mar 12, 2019 · 2 likes · 3,366 followers View post →
Dr Linda Dykes has moved to Bluesky
@DrLindaDykes · X

RT @drjohnm: The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 yea…

Nov 16, 2019 · 9 shares · 31,879 followers View post →
rafavidalperez
@rafavidalperez · X

RT @drjohnm: The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 yea…

Nov 16, 2019 · 9 shares · 13,847 followers View post →

All mentions

CardioAddict
@CARDIOADDICT88 · X

The COURAGE Trial https://t.co/wT8OrcKQ4h via @YouTube

Feb 25, 2024 · 1 followers View post →
Less-Is-More Cardiologist
@DavidLBrownMD · X

@djc795 @bogdienache @boback @BobDreyfuss2017 @iamritu @mad_sters @ProfDFrancis @rallamee @DrJHoward @mshunshin @MikeTPhD @drjohnm @rwyeh @imperialcollege Then you would have used the COURAGE 10-year data which is 53% of the original cohort? https://t.co/IfZmfK5C0H

Feb 20, 2020 · 3 likes · 22,242 followers View post →
Yuri Pride
@yuripridemd · X

@ajaykirtane @webmd11 P.P.P.S. Ha! I was right! 15-year survival after TKR 66.6%. COURAGE 15-year survival was 75% in both arms. Now tell me which disease is more deadly! (I jest, of course) https://t.co/WzTiNk2f6J https://t.co/Sco5FJObON

Dec 7, 2019 · 3 likes · 3,839 followers View post →
Paul Sufka, MD
@psufka · X

RT @drjohnm: The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 yea…

Nov 18, 2019 · 9 shares · 8,369 followers View post →
Fernando Biguria
@FernandoBiguria · X

RT @drjohnm: The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 yea…

Nov 17, 2019 · 9 shares · 789 followers View post →
Pedro Lopez-Ayala
@LopezAyalaP · X

RT @drjohnm: The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 yea…

Nov 17, 2019 · 9 shares · 276 followers View post →
Raj Khandwalla, MD, MA, FACC
@rajkmd · X

RT @drjohnm: The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 yea…

Nov 16, 2019 · 9 shares · 1,079 followers View post →
Khalid Minhas, MD FACC
@minhaskh · X

RT @drjohnm: The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 yea…

Nov 16, 2019 · 9 shares · 11,367 followers View post →
Gareth Wynn
@MelbourneEPdoc · X

RT @drjohnm: The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 yea…

Nov 16, 2019 · 9 shares · 1,754 followers View post →
Alison L. Bailey, MD
@a_l_bailey · X

RT @drjohnm: The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 yea…

Nov 16, 2019 · 9 shares · 5,298 followers View post →
Dr Linda Dykes has moved to Bluesky
@DrLindaDykes · X

RT @drjohnm: The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 yea…

Nov 16, 2019 · 9 shares · 31,879 followers View post →
rafavidalperez
@rafavidalperez · X

RT @drjohnm: The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 yea…

Nov 16, 2019 · 9 shares · 13,847 followers View post →
John Mandrola, MD
@drjohnm · X

The talk about crossing curves and the possibility of long-term benefit from PCI is spin. See results of Courage up to 15 years > https://t.co/WqeHnzIV1l #aha19

Nov 16, 2019 · 36 likes · 9 shares · 69,008 followers View post →
Boback Ziaeian
@boback · X

A similar publication with long-term #COURAGE follow-up was published in the @nejm in 2015, but did not focus on the number of lesions or quantifying severity of ischemia on prognosis. https://t.co/X7pwAAWoDK

Mar 12, 2019 · 2 likes · 3,366 followers View post →