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percutaneous coronary intervention or PCI is known to relieve angina in patients with stable ischemic heart disease but clinical trials have not shown improved survival the courage trial followed 2,287 patients with stable ischemic heart disease the patients were randomized into two groups and received optimal medical therapy with or without pci when trial results were published after up to seven years of follow-up there was no difference in survival between the two groups of the 2287 patients in the original study 1211 or 53% were followed for up to 15 years there were 284 deaths in the pci group 24.7% and 277 deaths in the medical therapy group 24.4% the authors conclude that as compared with medical therapy alone PCI did not improve long-term survival in patients with stable ischemic heart disease full results are available at any JM org
