Finally, keep in mind, that most of these studies were done by experienced operators, so if no surgeon is willing to perform open heart
surgery and no cardiologist is willing to perform PCI
, then all you have left is medical therapy. Without LM disease and with no LV dysfunction, patient who are medically treated do as well as those that have either intervention. Usually, maximal medical therapy involves a high dose beta blocker, a high dose statin, ace, aspririn, plavix and a nitrate.