This study compares two procedures to help blood flow in the heart for minority groups. One procedure uses a small mesh tube called a stent, inserted through a small cut in the wrist or groin, to open blocked heart arteries. The other is open-heart surgery, using healthy blood vessels to bypass the blockages, like a detour. The study checks survival rates and quality of life improvements. It is called the RECHARGE trial.

The trial is open-label, meaning both the doctors and patients know which procedure is being done. People in the study will be watched over for 5 to 10 years, with regular check-ins by phone.

To be part of this study, participants must be at least 18 years old, identify as a minority, and have certain heart conditions. They must also be able to give consent and follow study guidelines.

• The study lasts between 5 to 10 years with regular follow-ups.
• Participants must be comfortable with either procedure as decided by the Heart Team.
• Excludes those unable to take necessary medications or with other health issues affecting participation.