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The more than 5,100 participants were followed for a median of 3.5 years. There were 145 deaths in the group that was randomized to receive stents or bypass in addition to medical therapy, compared with 144 among those who received medication alone. Additionally, there were 276 heart attacks in the stent and bypass group, vs. 314 in the medication group, a difference that was not considered significant.
Glenn Levine, MD, director of cardiac care at Baylor College of Medicine in Houston and a member of the guidelines committee of the American Heart Association, said the trial is "extraordinarily important" and the results will be incorporated into treatment guidelines.
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