American guidelines for stable heart artery disease have finally caught up with the evidence. They recommend optimal medical treatment (OMT) first before moving on to stents and bypass surgery if OMT fails to relieve pain. Even so, most medical systems are designed to provide bypasses and stents, they are not prepared to consistently deliver OMT. I would love to hear your perspective on these facts.
According to my years of training, the MCG Neural Network using real-world trusted empirical data, the "state of art" medical or interventional therapies have NEVER delivered what they promised. Recently published 100-million-dollar 10-year "Ischemia" trial proves that: 13-15% of patients with known coronary artery disease treated either medically or with coronary intervention still died of Sudden Cardiac Deaths or other complications, as M.A.C.E, Major Adverse Cardiac Events are telling us this inconvenient truth. We must do better.
It has always made sense to me to try the least invasive, otherwise most successful approach first before moving on to invasive procedures. One need not be a physician to understand this.
Unfortunately most physicians do not follow evidence-based guidelines. Misaligned payment incentives that reward activity over results, clinical inertia, patient pressure, peer expectations, following the crowd all contribute. It's hard to change culture- old habits die hard.
According to my years of training, the MCG Neural Network using real-world trusted empirical data, the "state of art" medical or interventional therapies have NEVER delivered what they promised. Recently published 100-million-dollar 10-year "Ischemia" trial proves that: 13-15% of patients with known coronary artery disease treated either medically or with coronary intervention still died of Sudden Cardiac Deaths or other complications, as M.A.C.E, Major Adverse Cardiac Events are telling us this inconvenient truth. We must do better.
It has always made sense to me to try the least invasive, otherwise most successful approach first before moving on to invasive procedures. One need not be a physician to understand this.
Unfortunately most physicians do not follow evidence-based guidelines. Misaligned payment incentives that reward activity over results, clinical inertia, patient pressure, peer expectations, following the crowd all contribute. It's hard to change culture- old habits die hard.
Your advice is always spot on! Thanks