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Big study casts doubt on need for many heart procedures
Associated Press ^ | November 16, 2019 | Marilynn Marchione

Posted on 11/16/2019 12:19:27 PM PST by Olog-hai

People with severe but stable heart disease from clogged arteries may have less chest pain if they get a procedure to improve blood flow rather than just giving medicines a chance to help, but it won’t cut their risk of having a heart attack or dying over the following few years, a big federally funded study found.

The results challenge medical dogma and call into question some of the most common practices in heart care. 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 different situation than a heart attack, when a procedure is needed right away to restore blood flow.

For non-emergency cases, the study shows “there’s no need to rush” into invasive tests and procedures, said New York University’s Dr. Judith Hochman.

There might even be harm: To doctors’ surprise, study participants who had a procedure were more likely to suffer a heart problem or die over the next year than those treated with medicines alone.

Hochman co-led the study and gave results Saturday at an American Heart Association conference in Philadelphia. …

(Excerpt) Read more at apnews.com ...


TOPICS: Health/Medicine
KEYWORDS: angioplasty; bypasssurgery; cloggedarteries; deathpanels; healthcare; heart; heartattack; heartsurgery
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To: cymbeline

Last I knew the medical profession makes most of its money off folks with chronic illness. Elderly, if you’re thinking the last year of life, come second.


21 posted on 11/16/2019 12:49:44 PM PST by mewzilla (Break out the mustard seeds.)
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To: Olog-hai

LOL! Get ready, old people. Here it comes.


22 posted on 11/16/2019 12:50:23 PM PST by Texas Eagle (If it wasn't for double-standards, Liberals would be have no standards at all -- Texas Eagle)
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To: HypatiaTaught
How about stop eating animals and switch to whole food, plant based diet that is proven as the ONLY diet not only to stop, but reverse clogged arteries.

I was in cardiac rehab for several months. I was shocked that most men who had worse events than I were not making recommended changes in diet or exercise.

23 posted on 11/16/2019 12:54:06 PM PST by Raycpa
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To: HypatiaTaught
How about stop eating animals and switch to whole food, plant based diet

How about eating food that actually tastes good instead of that vegetarian crap that has all the appeal of sawdust and packing foam?

24 posted on 11/16/2019 12:57:29 PM PST by IronJack
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To: CodeToad

Of course that’s only for us peasants. I notice Bernie Sanders had his heart surgery, and he’s up there in age.


25 posted on 11/16/2019 12:58:10 PM PST by EvilCapitalist (If it takes a bloodbath, let's get it over with. No more appeasement. -Ronald Reagan)
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To: allendale

Part of it is, what then do you do with extensively trained, highly paid cardiologists whose day in the hospital consists of mostly elective procedures? Subsidize them to reduce their cases by 80%?

Maybe Liz Warren can retrain them to be Medicare-For-All lobbyists.


26 posted on 11/16/2019 12:58:52 PM PST by GnuThere
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To: HangnJudge

Thanks for summing things up.


27 posted on 11/16/2019 12:59:45 PM PST by lastchance (Credo.)
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To: aquila48

I also had 5 stents installed, no heart attack but 3 of 4 arteries 40-50% occluded, in July 2018, after 23 days of acute-severe Pancreatitis, which decimated me 134lbs and too weak for a bypass.

You have FRmail.


28 posted on 11/16/2019 12:59:56 PM PST by Carriage Hill (A society grows great when old men plant trees, in whose shade they know they will never sit.)
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To: Raycpa

Did the docs recommend carbohydrate reduction?...if not, I think they’re blowing smoke


29 posted on 11/16/2019 1:01:34 PM PST by goodnesswins (Want to know your family genealogy? Run for political office.)
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To: HypatiaTaught

“Stable heart disease” is not the same thing as calling heart disease normal. A person with diabetes may have stable diabetes but diabetes is not a normal state of health.


30 posted on 11/16/2019 1:03:01 PM PST by lastchance (Credo.)
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To: cymbeline

I remember when one of Obama’s cronies went on TV and said that a person should just die after age 60, so I guess Bernie Sanders is a goner


31 posted on 11/16/2019 1:03:01 PM PST by Sarah Barracuda
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To: CodeToad; Skywise; aquila48; allendale

“Sounds like liberal socialism doesn’t want medical procedures.”

exactly right ... i’ve almost lost count of the number of times stenting restored my life after both heart attacks and near heart (unstable angina) attacks.

medications don’t do shit to unblock coronary arteries ...

AND there’s already a standard of when NOT to stent, namely for any blockage that’s not over 60% blocked ...


32 posted on 11/16/2019 1:03:14 PM PST by catnipman (Cat Nipman: Vote Republican in 2012 and only be called racist one more time!)
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To: All

cue R.E.M. “It’s the end of my heart as I know it (and I feel fine).


33 posted on 11/16/2019 1:04:52 PM PST by BipolarBob (Bipolars have more fun. No we don't.)
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To: aquila48

You are exactly what the article claims. The ones unnecessary are the ones coming in for just chest pain. Thanks for proving this study.


34 posted on 11/16/2019 1:06:44 PM PST by napscoordinator (Trump/Hunter, jr for President/Vice President 2016)
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To: Brilliant; All

“When you don’t have enough doctors to serve everyone you pretend that a lot of patients don’t really need service.”

You nailed it!


35 posted on 11/16/2019 1:08:11 PM PST by Diana in Wisconsin (I don't have 'hobbies.' I'm developing a robust post-Apocalyptic skill set.)
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To: goodnesswins

Yep


36 posted on 11/16/2019 1:08:19 PM PST by Raycpa
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To: Olog-hai

Incredibly massive study fully vindicates rate of heart procedures:

What is the average life span of people with a family history of heart problems, and what was that lifespan in 1957?


37 posted on 11/16/2019 1:10:44 PM PST by MrEdd (Caveat Emptors)
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To: CodeToad

“Sounds like liberal socialism doesn’t want medical procedures.”

Yes because this study does not even make sense if you think about what the “Procedures” correct. Medicines can’t do that.


38 posted on 11/16/2019 1:19:45 PM PST by Revel
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To: HangnJudge

study participants who had a procedure were more likely to suffer a heart problem or die over the next year than those treated with medicines alone...

No what it said is that OF COURSE they were more likely to suffer a heart problem because doctors thought their situation was BAD ENOUGH to require surgery whereas the people on meds...their situation obviously wasn’t bad enough to require surgery to begin with.

Making their situation obviously less life threatening.


39 posted on 11/16/2019 1:24:10 PM PST by dp0622 (Radicals, racists Don't point fingers at me I'm a small town white boy Just tryin' to make ends meet)
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To: CodeToad
As Obama told you, if you’re dying and need a procedure but you are tool old, go take a pain pill and die in a corner.

He didn't say a pain pill, he said give grandma a pain kill her.

40 posted on 11/16/2019 1:28:00 PM PST by null and void (Convicted spies are shot, traitors are hanged, saboteurs are subject to summary execution...)
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