Compare bypass or stent for heart weakness from blocked arteries
Part of Heart & circulation clinical trials.
This study compares two ways to improve blood flow in people with weakened heart pumping (ischemic cardiomyopathy): bypass surgery (CABG) versus stent treatment (PCI). It aims to see which approach works better when the heart still has enough at-risk muscle and when best medical therapy is already started.
Summary written for real people, not researchers, by Clin2.
Who can take part
- You are 18 years or older.
- You have ongoing heart failure symptoms despite treatment (NYHA class II–IV) within the last month.
- Your heart’s pumping strength is low (LVEF 40% or less) from an accepted scan or test.
- Your coronary angiogram shows a meaningful amount of heart muscle is in danger, and doctors think you can be fully revascularized with either stent or bypass.
- You have started guideline-based heart medications for at least 1 month (or these are started in the hospital before randomization when possible).
- You can sign the consent form and have no major reasons listed that would prevent taking both treatments safely.
Quick eligibility check
Answer a few plain-language questions, based on this study's own requirements, to get a preliminary sense of fit.
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