Do heart stents benefit chest pain in angina pectoris?

Do heart stents benefit chest pain in angina pectoris?

Sham surgery tests prove that procedures like non-emergency stents do not benefit angina pain.

Angioplasty and Stents – Cutaneous Coronary Intervention (PCI) – Stable Non-Emergency Coronary Artery Disease is one of the “most common invasive procedures performed in the United States.” They appeared to provide immediate relief of angina chest pain in stable patients with coronary artery disease, but in reality they were not at a low risk of heart attacks and death. This is because there is atherosclerotic plaque because narrow blood flow tends to rupture and not kill us. However, symptom control is important and a lot of what we do in medicine, but when it comes to carrying out procedures that don’t really help at all, heart disease has a bad track record.

Suitable cases: Ligation of the internal breast artery. It didn’t have much anatomical significance, but why does it somehow improve coronary circulation through the chest wall and breast? – It worked like an attractiveness that instantly improves 95% of hundreds of patients. Was it just an elaborate placebo effect, and was the surgeon cutting it down on people without doing anything? There is only one way to find it.

As discussed in my video, do cardiac stent procedures help with angina chest pain? , people were randomized, actual surgery or patients were cut off, and the surgeon reached the final stage but did not actually tie those arteries together. result? “Patients who had sham surgery experienced the same relief.” Check the testimony: “In fact, I felt better soon.” “I’m about 95% better.” “I have no breast problems even in exercise.” “I believe it’s cured.” And these are all people who have undergone sham surgery. So it was just a luxurious placebo effect. Think about that. “A man with a frightening, low-informed angina pectoris (chest pain) is caught up in all directions of chest discomfort, enters a strong medical center and a strong positive personality environment, and hears the expected results from the proposed treatment. He hears how great he feels, goes through the whole operation, leaves the scars of that trademark on the new man.

However, one fake patient actually cured. “The patient is optimistic and he says he’s feeling much better,” an office note the following day read, “The patient died after moderate exercise.” This has happened many times.

What happens if you burn holes in the myocardium with a laser to create a channel for blood flow? It seemed to work well until it proved not to work at all. Cutting the nerves into our kidneys was told to be a difficult-to-treat hypertension treatment until the sham surgery proved to be fake, too. “The need for a placebo-controlled trial has usually been rediscovered several times in heart disease, due to considerable surprise.” Before they were exposed, “In many cases, therapy is considered to be extremely beneficial, and placebo-controlled trials are considered unnecessary.” That was the case with stents.

Hundreds of thousands of angiogenesis and stents are performed each year, but no placebo-controlled trials have been conducted. why? This is because the cardiologist was convinced that “exposing patients to invasive placebo procedures may be unethical.” Why do we perform fake surgery to prove that we already know? “Knowing that a patient has a PCI will clearly reduce angina pectoris and improve the quality of life.” But what if they didn’t know that a stent was placed inside them? Does it still work?

Please enter your Orbita trial. After all, anti-vasculature is only taken seriously if there is blinded evidence of relief from symptoms against placebo tablets.” “In both groups, doctors passed the catheter through the patient’s gro diameter or wrist, then passed through to the blocked artery under X-ray guidance. Once the catheter reached an occlusion, doctors either inserted the stent or simply pulled out the catheter if the patient was undergoing sham surgery.”

Researchers had problems funding their research. They said, “We know the answer to this question – of course, PCI works.” And that’s what the researchers themselves think. They were interventional cardiologists. They just wanted to prove it. Boy, they were surprised. Even patients with severe coronary stenosis, angioplasty, and stents did not have more exercise time than sham procedures.

“Incredible,” read the New York Times headline, and said the results “were shattering major cardiologists by countering decades of clinical experience.” In response to the blowback, the researchers wrote, “I sympathize with the shock in our community and the instinct to negate exams. By applying a positive spin, I was able to smooth out the acceptance of trials, but as an author, I have an obligation to maintain scientific integrity.”

While some “admired them for challenging existing doctrines about routine, ingrained and profitable procedures,” others questioned their ethics. Ultimately, four patients in the placebo group developed complications from insertion of guidewires and needed emergency measures to seal the cleft created in the arteries. Additionally, there were three major bleeding events in the placebo group, which took risks without even the possibility of benefits. However, “it’s far from showing the risk of falsely controlled PCI trials, which shows exactly what patients are routinely targeted, without evidence of benefits.”

These few complications in this trial are “war run in size” by thousands of people who have been troubled or killed by the procedure over the years. Do you want it unethically? What about the fact that invasive procedures were carried out on millions of people before they were actually tested? Perhaps “We should consider the absence of a false control test as greater fraudulent, not the existence of a false control test.”

When a former commissioner for the US Food and Drug Administration was asked at an American Heart Association meeting, “When asked if fake control was needed to approve the device, he thought it was a more decision for the clinical community: “Do you want to get the truth?”

Facebook
Pinterest
LinkedIn
Twitter
Email

Leave a Reply

Your email address will not be published. Required fields are marked *

Subscribe To Our Newsletter

Subscribe to our email newsletter today to receive updates on the latest news, tutorials and special offers!

Subscribe To Our Newsletter

Subscribe to our email newsletter today to receive updates on the latest news, tutorials and special offers!