Options such as stents are not necessary for all patients. Many patients can be cured only with medicines. Surgery or stent options are considered effective only in the case of severe blockage or heart attack.This research found that instead of surgery for blocked arteries, only those dependent on drugs did not have a single heart attack compared to those who had surgery. This announcement is nothing short of an open challenge to decades of information. A study conducted on more than five thousand people over the course of seven years found that bypasses and stents, they are so popular because of the relief of only chest pain, or angina.
Thought-changing research
Dr. Ellis Jacobs, director of the cath lab and Interventional Cardiology at Boston University, admitted that it would 'change our medical thinking.' He said the common belief has been that treating the block will make the patient feel better. $ 100 million was spent on trials conducted on 5179 people for this research. Its findings were presented at the annual meeting of the American Heart Association in Philadelphia. With this, once again, there are cracks in the experts regarding the methods of treatment of blockage of the arteries. It is noteworthy that questions have been raised for a long time on stents and arterial cleaning devices. The latest research, called Ishemia, was the largest, intensive and controlled research ever conducted.
There can be savings of crores
Hauchman believes that only about five and a half thousand crores of rupees every year only by stopping unnecessary stenting. Can be saved. Many times even people who have no complaints of chest pain are put on stents. He has a clear opinion that a stent or a bypass is only for those whose blockage problems have taken serious form. According to Dr. David Meron, a cardiologist at Stanford University School of Medicine and co-author of the study, the average cost of stent and bypass in the US is Rs 17 lakh and Rs 32 lakh respectively. Costs Hauchman says, but if you have had a heart attack, then a stent can save your life.
There will be space in the guidelines
"This is a unique and important trial." Levine, a member of the American Heart Association guidelines committee, said the results of the study would be included in the treatment guidelines. A doctor said in a conversation with the New York Times that patients could save up to $ 775 million annually if this happens. Many cardiologists do not want to change the course of treatment simply because patients who have a stent to open the arteries are said to get immediate relief.
This was the subject of study
Is surgery to normalize blood flow in the arteries of heart patients a better option than more traditional aspirin, cholesterol-lowering drugs, and other methods?
First two studies
It was found that cleaning and stenting of arteries with medical treatment or bypass surgery does not significantly reduce the risk of heart attack and death compared to non-surgical treatment methods.
Will take time
In the opinion of the experts the study was done very well and its conclusions would be difficult to ignore. Interventional Cardiologist of the University of Medicine Heart Institute, Phoenix.
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