The Forgotten Side to Coronary Revascularization Outcomes: Quality of Life
A 63-year-old male with hypertension, hyperlipidemia and previous smoking history presented to his cardiologist's office with a 3-month history of exertional chest pain. Exercise nuclear stress test revealed diffuse >1mm ST depressions without drop in ejection fraction, transient ischemic dilation, or distinct areas of infarction on images concerning for balanced ischemia. He subsequently underwent cardiac catheterization which revealed triple vessel coronary artery disease with 90% stenosis of the mid left anterior descending coronary artery, 75% stenosis of the proximal right coronary artery, and 80% stenosis of the mid left circumflex coronary artery. The left main was free of disease. Syntax score was 26. Despite the symptoms, he has been able to continue his work at his own landscaping business and would like to would like return to work as soon as possible after any indicated intervention.
Which revascularization approach offers improved QOL within the first year post-procedure?