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CABG OR STENTS?

ANCHOR LEAD:  PEOPLE WHO HAVE BYPASS SURGERY MAY BE HAPPIER IN THE LONG RUN THAN THOSE WHO GET STENTS, ELIZABETH TRACEY REPORTS

Coronary artery bypass surgery, or so called CABG, results in less chest pain and a reduced need for additional interventions than stent placement in people with moderate coronary artery disease, federal data conclude.  Does this mean that people with coronary artery disease should just proceed directly to bypass surgery?  Ed Kasper, a cardiologist at Johns Hopkins, says another important option wasn’t considered.

KASPER:  There’s some suggestion in the literature even, actually a fairly good suggestion, that people may not need to be revascularized at all.  That good medical therapy with a beta blocker and an ace inhibitor and aspirin and a statin may achieve the same kind of results that you can achieve with stenting.  The studies are coming out that would suggest that medical therapy is much more beneficial than we even thought.   :21

Very good medical therapy does take more time to achieve results, however, and optimal therapy for a particular person may require some tweaking.  I’m Elizabeth Tracey reporting.              

 


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