#40 | GMJ Podcast | [Insert Article Title] — Evidence, Clinical Implications, and Public Health Perspective

In this episode of the ⁠GMJ Podcast — the official podcast of the Georgian Medical Journal⁠ — we present a clinically focused discussion of a complex cardiovascular case involving staged hybrid coronary revascularization in an elderly patient with non–ST-elevation myocardial infarction (NSTEMI) and high surgical risk.This episode explores the rationale and clinical decision-making behind combining surgical and percutaneous approaches in a high-risk octogenarian patient. Hybrid coronary revascularization represents an evolving strategy aimed at optimizing outcomes by integrating the durability of surgical grafting with the minimally invasive advantages of percutaneous coronary intervention (PCI).The case highlights key challenges in managing elderly patients with multiple comorbidities, increased procedural risk, and complex coronary anatomy. Special attention is given to individualized treatment planning, balancing procedural risks, and achieving optimal revascularization outcomes.The episode examines key clinical considerations, including:• Indications for hybrid coronary revascularization in high-risk patients• Decision-making in elderly patients with NSTEMI and complex coronary disease• Integration of surgical and percutaneous strategies• Risk stratification and perioperative management• Clinical outcomes and safety considerations• The role of CARE guidelines in structuring high-quality case reportsThe findings demonstrate the importance of personalized, multidisciplinary approaches in cardiovascular care, particularly in vulnerable patient populations. Hybrid strategies may offer a viable alternative to conventional approaches in carefully selected patients.This episode emphasizes the value of case-based evidence in advancing clinical understanding, supporting decision-making, and improving patient-centered care.https://gmj.ge/index.php/pub/article/view/27https://doi.org/10.5281/zenodo.19132069Citation:Gabaidze, G., Zhvania, N., Tsintsadze, N., Chkhatrishvili, N., & Katcharava, M. (2026). Staged Hybrid Coronary Revascularization in an Octogenarian with NSTEMI and High Surgical Risk: A CARE-Compliant Case Report. The Georgian Medical Journal, 1(1), 199–208.https://doi.org/10.5281/zenodo.19132069