Stents and Bypass Surgeries Aren’t Any More Efficient Than Drugs For Stable Cardiovascular Disease

 

Dr. Mary Ann McLaughlin on Stents vs. Bypass Surgery

Video taken from the channel: Mount Sinai Health System


 

Alternative to heart stent or bypass surgery

Video taken from the channel: Heart Fit Clinic


 

Medicine, diet and exercise as effective as stents or surgery for heart problems

Video taken from the channel: WWLTV


 

Stents, Bypass Surgery Called Into Question By New Study | TODAY

Video taken from the channel: TODAY


 

Medication and lifestyle changes just as effective as surgery for heart disease, study finds

Video taken from the channel: CBS This Morning


 

Heart Disease Stent vs. Bypass: Wellstar Health Connection

Video taken from the channel: Wellstar Health System


 

Heart disease study finds limited benefits for stents

Video taken from the channel: CNBC Television


Overall, the keenly anticipated ISCHEMIA study results suggest that invasive procedures, stents and bypass surgery, should be used more sparingly in patients with stable heart disease and the. Stents, bypass surgery show no benefit in heart disease mortality rates among stable patients A large, international study led by Stanford and New York University found that invasive procedures are no better than medications and lifestyle advice. Stents and coronary bypass surgery reduce chest pain caused by inadequate blood supply, but medication and lifestyle modifications are just as effective as these procedures in preventing heart attacks, heart-related hospitalizations and death in.

There was no benefit to an invasive strategy in people without chest pain. Overall, the keenly anticipated ISCHEMIA study results suggest that invasive procedures, stents and bypass surgery, should be used more sparingly in patients with stable heart disease and the decision to use them should be less rushed, experts said. It followed 5,179 high-risk patients and showed that after four years, surgical treatments (stents or coronary artery bypass surgery) were not more effective than lifestyle changes and medication in preventing heart attack deaths in patients with stable heart disease.

More than 9.4 million North Americans today suffer from coronary artery disease and 650,000. PHILADELPHIA — Stents and coronary artery bypass surgery are no more effective than intensive drug treatment and better health habits in preventing millions of Americans from heart attacks and. REVERSAL: Stents and bypass surgery are no more effective than drugs for stable heart disease, highly anticipated trial results show By Carolyn Y. Johnson The Washington Post Published Nov. 20, 2019.

They are the strongest evidence yet that tens of thousands of costly stent procedures and bypass operations each year are unnecessary or premature for people with stable disease. That’s a. VA researchers sought to learn whether drug-eluting or bare-metal stents are more effective in addressing first-time saphenous vein graft lesions, a blockage in blood vessels that can occur after bypass surgery. (Photo: ©iStock/Alexey_ds) Study: No difference in effectiveness of stents used in patients with heart disease.

May 16, 2018. By Mike. The new study found that patients who received drug therapy alone did not experience more heart attacks or die more often than those who also received bypass surgery or stents, tiny wire cages used.

List of related literature:

This is particularly true because the widespread use of drug-eluting stents reduces the incidence of in-stent restenosis, thus reducing the positive yield from repeated invasive coronary angiography.

“Textbook of Interventional Cardiology” by Eric J. Topol, MD, Paul S. Teirstein, MD
from Textbook of Interventional Cardiology
by Eric J. Topol, MD, Paul S. Teirstein, MD
Elsevier Health Sciences, 2015

One of the advantages of heart surgery over cardiac stents is that the heart surgery patient does not need to take medications to prevent clotting of the stent.

“100 Questions & Answers About Kidney Dialysis” by Lawrence E. Stam
from 100 Questions & Answers About Kidney Dialysis
by Lawrence E. Stam
Jones & Bartlett Learning, 2009

However, the advent of drug eluting stents with significantly lower rates of restenosis compared with earlier bare metal stents or simple angioplasty alone has resulted in further challenges to surgery for coronary artery disease.

“Clinical Surgery E-Book: With STUDENT CONSULT Online Access” by Michael M. Henry, Jeremy N. Thompson, Asif Chaudry
from Clinical Surgery E-Book: With STUDENT CONSULT Online Access
by Michael M. Henry, Jeremy N. Thompson, Asif Chaudry
Elsevier Health Sciences, 2012

Coronary stents improve outcome compared with balloon angioplasty alone, but restenosis is common, and the efficacy and safety of drug-eluting stents in this subset remain unclear.

“Cardiology E-Book” by Michael H. Crawford, John P. DiMarco, Walter J. Paulus
from Cardiology E-Book
by Michael H. Crawford, John P. DiMarco, Walter J. Paulus
Elsevier Health Sciences, 2009

Coronary artery bypass grafting (CABG) provides better outcomes than percutaneous transluminal coronary angioplasty (PTCA) in diabetic patients.

“Williams Textbook of Endocrinology” by Shlomo Melmed, MBChB, MACP, Kenneth S. Polonsky, MD, P. Reed Larsen, MD, FRCP, Henry M. Kronenberg, MD
from Williams Textbook of Endocrinology
by Shlomo Melmed, MBChB, MACP, Kenneth S. Polonsky, MD, et. al.
Elsevier Health Sciences, 2015

Sirolimuseluting stents have demonstrated higher efficacy than conventional stents in patients with atherosclerotic coronary artery disease.

“Current Clinical Medicine E-Book: Expert Consult Online” by Cleveland Clinic
from Current Clinical Medicine E-Book: Expert Consult Online
by Cleveland Clinic
Elsevier Health Sciences, 2010

These patients have an increased risk of cardiovascular mortality, particularly those with coronary artery lesions; such patients may require long-term statin therapy.

“Netter's Cardiology E-Book” by George Stouffer, Marschall S. Runge, Cam Patterson, Joseph S. Rossi
from Netter’s Cardiology E-Book
by George Stouffer, Marschall S. Runge, et. al.
Elsevier Health Sciences, 2018

However, because of the widespread use of drug-eluting stents to treat coronary artery disease, this decision must now be made on a case-by-case basis.

“Mayo Clinic Internal Medicine Board Review” by Amit K. Ghosh
from Mayo Clinic Internal Medicine Board Review
by Amit K. Ghosh
OUP USA, 2010

In cases of lowrisk, stable CAD, aggressive lipid-lowering therapy is at least as effective as angioplasty in reducing the incidence of ischemic events.40 Numerous other trials have focused on the effect of diet-induced reductions in LDL cholesterol and the resultant changes in CAD.

“Pathology for the Physical Therapist Assistant E-Book” by Catherine C. Goodman, Kenda S. Fuller
from Pathology for the Physical Therapist Assistant E-Book
by Catherine C. Goodman, Kenda S. Fuller
Elsevier Health Sciences, 2016

A survey in the late 1990s demonstrated that use of simple, low-cost medical technology, such as aspirin, statins, and beta-blockers, all proven to be highly effective in reducing CHD risk or delaying second AMIs, was not adopted by a majority of practitioners in the USA at that time.

“The New Public Health” by Theodore H. Tulchinsky, Elena A. Varavikova
from The New Public Health
by Theodore H. Tulchinsky, Elena A. Varavikova
Elsevier Science, 2014

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • Americans exercising and dieting? Especially in the south they’d rather die. This also goes to the heart of why our medical system sucks in America, we want solutions not prevention with little changes…