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

Treatment groups

900 Participants
are divided into 2 treatment groups

Locations

1
Samsune Medical Center06351, Seoul South Korea

Sponsors and collaborators

Samsung Medical Center

Lead sponsor