Lee SE, et al. - Researchers compared coronary artery bypass graft (CABG) to percutaneous coronary intervention (PCI) in patients with acute heart failure (AHF), in terms of adverse outcomes, including death, rehospitalization for HF aggravation or cardiovascular causes, ischemic stroke and a composite outcome of death and rehospitalization for HF aggravation or cardiovascular causes, using propensity score matching. Participants were 717 consecutive patients who received CABG or PCI during the index hospitalization for AHF and were enrolled prospectively in the Korean Acute Heart Failure registry from March 2011 to February 2014. Findings revealed a significant lower all-cause mortality observed in patients with AHF in relation to CABG vs PCI. Patients with old age, three-vessel diseases, significant proximal left anterior descending artery disease, and those without left main vessel disease or chronic total occlusion especially benefitted from the significantly lower incidence of adverse events seen with CABG vs PCI.