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Design of the Future REvascularization Evaluation in patients with Diabetes mellitus: Optimal management of Multivessel disease (FREEDOM) Trial

The American heart journal, 2008-02, Vol.155 (2), p.215-223 [Peer Reviewed Journal]

2008 ;2008 INIST-CNRS ;Copyright Elsevier Limited Feb 2008 ;ISSN: 0002-8703 ;EISSN: 1097-6744 ;DOI: 10.1016/j.ahj.2007.10.012 ;PMID: 18215589 ;CODEN: AHJOA2

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Title:
Design of the Future REvascularization Evaluation in patients with Diabetes mellitus: Optimal management of Multivessel disease (FREEDOM) Trial
Author: Farkouh, Michael E., MD, MSc ; Dangas, George, MD, PhD ; Leon, Martin B., MD ; Smith, Craig, MD ; Nesto, Richard, MD ; Buse, John B., MD, PhD ; Cohen, David J., MD, MSc ; Mahoney, Elizabeth, ScD ; Sleeper, Lynn, ScD ; King, Spencer, MD ; Domanski, Michael, MD ; McKinlay, Sonja, PhD ; Fuster, Valentin, MD, PhD
Subjects: Angioplasty, Balloon, Coronary ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular ; Coronary Artery Bypass ; Coronary Disease - therapy ; Coronary vessels ; Diabetes Complications ; Diabetes. Impaired glucose tolerance ; Drug therapy ; Drug-Eluting Stents ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Epidemiologic Research Design ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Heart attacks ; Humans ; Medical sciences ; Mortality ; Myocardial Revascularization ; Prospective Studies ; Studies
Is Part Of: The American heart journal, 2008-02, Vol.155 (2), p.215-223
Description: Background Prior randomized trials suggested that revascularization of diabetic patients by coronary artery bypass grafting (CABG) produced results superior to balloon angioplasty. The introduction of drug-eluting stents (DESs) calls into question the relevance of past studies to the current era. The FREEDOM Trial is designed to determine whether CABG or percutaneous coronary intervention (PCI) is the superior approach for revascularization of diabetic patients. Study Design The FREEDOM Trial is a multicenter, open-label prospective randomized superiority trial of PCI versus CABG in at least 2000 diabetic patients in whom revascularization is indicated. Consenting diabetic patients with multivessel disease will be randomized on a 1:1 basis to either CABG or multivessel stenting using DESs and observed at 30 days, 1 year, and annually for up to 5 years. At the discretion of the primary physician or interventionalists, patients randomized to the PCI/DES arm will receive any approved DESs. The primary outcome measure is the composite of all-cause mortality, nonfatal myocardial infarction, or stroke. Patients will be observed for a mean of 4 years. Implications At present, coronary revascularization with CABG surgery is the treatment of choice in diabetic patients with multivessel coronary artery disease. Drug-eluting stents have shown promising preliminary results in the diabetic population. The FREEDOM Trial is an international study designed to define the optimal revascularization strategy for the diabetic patient with multivessel coronary disease.
Publisher: New York, NY: Mosby, Inc
Language: English
Identifier: ISSN: 0002-8703
EISSN: 1097-6744
DOI: 10.1016/j.ahj.2007.10.012
PMID: 18215589
CODEN: AHJOA2
Source: MEDLINE
ProQuest Central

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Design of the Future REvascularization Evaluation in patients with Diabetes mellitus: Optimal management of Multivessel disease (FREEDOM) Trial

2008 ;2008 INIST-CNRS ;Copyright Elsevier Limited Feb 2008 ;ISSN: 0002-8703 ;EISSN: 1097-6744 ;DOI: 10.1016/j.ahj.2007.10.012 ;PMID: 18215589 ;CODEN: AHJOA2

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