ANCHOR LEAD: DOES ANYONE REALLY NEED A STENT? ELIZABETH TRACEY REPORTS
Drug eluting or not, stents may not be necessary at all if people with partially blocked arteries to the heart are carefully managed using medicines and lifestyle changes, a recent study concludes. Rick Lange, chief of clinical cardiology at Johns Hopkins, explains.
LANGE: This is a very interesting study, one might even call it a landmark study, of almost 2300 patients that had established coronary disease, they had a blockage in one or more blood vessels and had an abnormal stress test. They were randomized to receive either very good medical therapy, or to receive revascularization, that is, opening the blockage up, with very good medical therapy. And at the end of the long term follow up patients who received routine, but very good medical therapy had the same incidence of death, heart attack and need for hospitalization as people who had their arteries opened up. :32
Lange emphasizes that excellent medical management that meets or exceeds goals is necessary for the best outcome. I’m Elizabeth Tracey reporting.