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Harvard Health Blog
Medications as effective as stents for most with coronary artery disease
- By Dara K. Lee Lewis, MD, Contributor
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Dear Mr. Anderson,
Thank you for your post. I am surprised that your cardiologist has not tried to optimize your medications before considering an invasive procedure. I strongly encourage you to seek a second opinion.
What is left out in the ISCHEMIA study trial, and or not summarized here, is the possibility of REVERSAL of disease (symptoms and narrowing) by INTENSE dietary revisions to whole food plant based diets. There are multiple studies that suggest this, conclude this, show this. None of them are great or “well done large studies” but the evidence is mounting, is quite profound, and cheaper than anything else!
I agree with the writer, OMT is equally effective and as well cost effective also avoid complications of stenting which may include rupture of vessels, wrong placement, or may get obstructed sometimes, drugs like aspirin, beta blockers, calcium channel blockers, coronary filters, statins, other haemolytic agent like clipidogrel are well effective
Hi there..so if We have a case with 3 coronary arteries with 5 stenoses ..and bypass was recommended instead of 4 stents..is the medical treatment can be the best choice to reverse the plaque forming the stenoses?
In ref to article by Dara K. Lee Lewis on 9th December 2019 …..
Would very much appreciate her input in DEB ( Drug eluted balloon angioplasty …… Patient who was diagnosed having NSTEMI with TROPONIN going up 509 after couple of days of admission to hospital.
This 78 years old male patient was doing fine after having 7 stents inserted in his coronary arteries in 2010 until this MI in September 2019
In HAREFIELD hospital London they found LAD ( left anterior descending ) 99 percent occluded & performed DEB …drug eluted ballon angioplasty …..my query is …How effective is this & long term prognosis ??
Ischemia trial is an eye opener not only for the cardiologist but also to patients about the rampant use of stents nowdays. A good insight.
Dear doctor many thanks for
I subit that I am a cardiac patient with stenting done in 2015 and 2018 to my RCA and LAD after rotablating the calcified arteris with 90%. I am pleased about the medical study on OMT with life style modification post stenting. The report is booting my confidence… thanks for the study
OMT IS MUST WHETHER STENTINTNG DONE OR NOT .STENTINTNG MUST IN SOME INTRACTABLE ANGINA WITH MORE THAN TWO LARGE VESSELS OR ONE MAJOR VESSEL BLOCK.
I have stable angina and my cardiologist is convinced that stents is the only way to go . He never tried medications except aspirin. I am on SSI/ medicaid. If I elect not to have this procedure,, I likely would lose my ssi. I feel trapped because of this.
Even after placing the stent(PCI with DES TO RCA) and also to LAD. MEDICINES ARE CONTINUED. LIKE NICORANDIL 20MG TWICE A DAY METOSARTAN 20Mg twice and ECOSPRINGOLD 20.75.75 IS THIS SAFE AND ESSENTIAL TILL LIFE. PT. 88YRS.
After undergoing several catherization procedures and 8 stents since 2013, my new cardiologist (since February 2019) has opted for OMT to treat my stable angina. The results of the Ischemia Study only serve to provide me the added assurance and trust in his treatment.
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