Stents vs. CABG in the Treatment for Coronary Artery Disease

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The medical literature and my own experience support this course of action if a procedure becomes necessary for the treatment of Coronary Artery Disease (CAD): In stable patients, optimal medical therapy should be the initial treatment of choice; If you have only one or two blockages (unless it includes a “Left Main Lesion”) and a good heart function , a Stent …

Cardiac Health Video

Dr T Cardiac Risks, Treatment, Your Heart Rhythm 13 Comments

Video Q&A 4/25/2014 The associated PowerPoint Presentation can be found here. I have made some minor changes to make it easier to view. The associated links will redirect you to the appropriate web pages. Please complete this questionnaire if you’d like to participate in the next live video session. I need the information ahead of time! Dr T

Stents and Arrhythmias Powerpoint Presentation

Dr T Treatment 1 Comment

Stents and Arrhythmias Powerpoint presentation used in the Q&A video session of 4/25/2014 (click on the Powerpoint screen to advance and follow the automations within the slides where necessary): This is an embedded <a target=”_blank” href=”http://office.com”>Microsoft Office</a> presentation, powered by <a target=”_blank” href=”http://office.com/webapps”>Office Online</a>.

“Cardiac perspectives from a heart surgeon”

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In March 2013,  I participated in a Podcast and several articles, published as “New fronts in heart disease: perspectives from a heart surgeon” in the Digital Journal. In it, I had the opportunity to discuss advances in the the treatment and prevention of heart disease. These were the questions that I addressed during the interview. For the answers I chose from …

More about Coronary Artery Bypass Grafting

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While the buzz in treatment for Coronary Artery Disease (CAD) is all about Percutaneous Coronary Interventions (PCI) or “Stenting”, relatively little information about Coronary Artery Bypass Grafting (CABG) is available. CABG, despite often being labeled as painful, expensive and risky, is in many ways the opposite: an efficient method of returning blood flow to the heart back to normal. Relatively …

Medical Therapy for Stable Coronary Artery Disease

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Yet another article compares Medical therapy with PCI (Stenting) in patients with stable Coronary Artery Disease. This time the focus was on control of angina symptoms, rather than survival. However, its conclusions were similar in that in this group of stable patients, medical therapy alone has become just as effective as PCI (75% vs. 77% control of symptoms). What surprised …

Stents Downgraded by Wall Street Journal: If Only It Were That Simple

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Attn: Burt Cohen Re: Stents Downgraded by Wall Street Journal: If Only It Were That Simple. Dear Mr Cohen, Like you I responded to the article “A Simple Health-Care Fix Fizzles Out” by Keith Winstein of the WSJ, dd 2/22/2010: However, unlike you, I drew somewhat different conclusions: RE: WSJ Simplifies Study Results by Ignoring Key Issues … you define …

Percutaneous Coronary Intervention (PCI) – Risks & Benefits

Dr T Chest Pain, Papers, Professionals, Treatment 1 Comment

A 58-year-old man has chest pain at 9:30 a.m.; 3 hours later, he calls for an ambulance. Paramedics arrive, provide standard treatment, and transport him to the nearest emergency department. On his arrival at a small hospital at 1 p.m., the findings are diagnostic of a myocardial infarction with ST-segment elevation. The emergency department physician recommends immediate transfer to a …