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He opens with the following story: section read “Ironic that a plumber came to us to help him remove a clog.” The ad referred to doctors in the cardiac catheterization laboratory as “one kind of pipe specialist,” and noted that the patient in the ad returned to work “just 2 days after having his own pipes cleaned out.” Although the image of coronary arteries as kitchen pipes clogged with fat is simple, familiar, and evocative, it is also wrong [emphasis mine]. Rothberg goes on to explain that for patients with stable disease, local interventions can only relieve symptoms; they do not prevent future myocardial infarctions.To be clear, at least 12 randomized trials conducted between 19, involving more than 5,000 patients, have found no reduction in myocardial infarction attributable to angioplasty in any of its forms.I know, I know, I said I was going to limit things to one post per year, but the last one doesn’t really count and while the year isn’t even half over I’m willing to predict nothing will inspire me more to write a post in the next 6 months than Allan Sniderman’s recent editorial piece in JAMA Cardiology. Before I get into this post I want to lay a few things out.There was a day when the only thing I argued about was who the greatest boxer of all time was. 1937-42 Henry Armstrong.) Today, however, I find myself arguing about so many things—some of them actually important—from why symptomatic women should receive hormone replacement therapy after menopause (and, by extension, why the Women’s Health Initiative tells us so, if you know how to read it) to why monotherapy with T4 for hypothyroidism is a recipe for disaster for most patients.Traditionally, the atherosclerotic process was believed to involve plaque accumulation that prompted the gradual narrowing of the lumen, with the eventual development of stenosis.Stenosis then caused impaired control of flow (stable angina) and plaque rupture and thrombosis (unstable angina and MI).Item Price: .00 At present Amazon gift card is the only method of payment we are accepting.

Each figure is preceded by a brief explanation of its content.(I’m fighting all urges to turn this post into a manifesto of 1965-67 Muhammad Ali vs. But there is nothing I find myself debating more than the misconceptions most doctors have about heart disease.This is especially troubling since heart disease kills more Americans than any other disease.After performing histological analyses of coronary artery sections, Glagov et al.reported that early atherosclerosis was characterized by plaque accumulation in the vessel wall and enlargement of the external elastic membrane (EEM) a change in lumen size.




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