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Getting to the heart of heart stents

canada goose outlet new york canada goose outlet city Every year over 300,000 North Americans have a stent implanted to increase the flow of blood to the heart muscle. Stents have been inserted for decades because of cardiologists concern that, without a stent, a heart attack may occur. Or, a coronary attack may have already caused angina, due to inadequate blood supply. Now, a study published in the medical journal, The Lancet, reports that some stents are life saving, while others could cheap canada goose uk have been avoided. canada goose outlet new york city


canada goose outlet online This is not the first review that has cast a shadow over stents. In 2007, the highly respected New England Journal of Medicine reported second thoughts about the value of stents. uk canada goose outlet A survey of 2,287 volunteers showed that adding stents to drug therapy had no effect on heart attacks Canada Goose Jackets or death, canada goose black friday sale compared to just using drugs alone. canada goose outlet online

canada goose outlet This debate will not end quickly as doctors habits rarely change overnight. Moreover, Canada Goose Outlet these canada goose clearance sale studies canada goose clearance could be wrong. Canada Goose Coats On Sale So I sure that more will follow. In the meantime, when the heart muscle is not getting enough blood and angina canada goose coats occurs, what is the best treatment? canada goose outlet

canada goose jacket outlet There are two kinds of angina, stable and unstable. Stable angina causes chest pain when walking, exercising, or during emotional stress, and is relieved by resting. Coronary arteries have to be about 70% blocked to trigger angina. canada goose jacket outlet


canada canada goose factory sale goose black friday sale Unstable angina in contrast can occur without exercise. For Canada Goose online instance, it can suddenly waken you during the night, and is not quickly eased by resting or using nitroglycerin. This is a critical condition, as heart attack may occur in a short time. In this case, the insertion of a stent can be life saving. canada goose black friday sale

canada goose outlet store In spite of this analysis many cardiologists continue to use stents. They reason that, even if stents do not save lives, they at least reduce or relieve angina pain. Now, even this conclusion is been questioned by further interesting research. For the first time, researchers decided to buy canada goose jacket cheap see if the power of placebo treatment could match the success of stents. This was a double blind study, in which neither researchers nor patients were aware of who had been given a stent, and who had not received one. canada goose outlet store

canada goose outlet nyc Two hundred patients in their sixties were followed. They had obstruction of coronary arteries causing chest pain. They were given six cheap Canada Goose weeks of drug therapy to decrease angina. Then another group was treated with stents. Lastly, a third group was given sedation, catheters were inserted, but no stents were deployed. It was sheer sham, fake therapy without the patients knowledge. canada goose outlet nyc

canada goose outlet uk Six weeks following the procedure, patients were tested on a treadmill to evaluate the result. What was found shocked the researchers. For years they had known that a sugar pill could often help those in pain. But it Canada Goose Parka was a surprise for them to discover no statistical difference between those who had received stents, and those who had the phony procedure. So, never underestimate the psychological power of sham therapy, and its effect on the accuracy of clinical trials. canada goose outlet uk

goose outlet canada So what is the solution? It makes sense to try drugs first as they could be as effective as https://www.gooseyou.com using stents. But if canada goose drugs fail, stents should be considered. And remember, if a stent is inserted, drugs to keep the stent open are needed, and more drugs to stop blood from clotting. goose outlet canada

canada goose Canada Goose Online outlet in usa But what is the initial risk of having a stent inserted? Doctors have inserted millions of stents and the risk is small. But as I often stressed, there is no such thing as risk free surgical procedure. So what can go wrong? canada goose outlet in usa

canada goose factory outlet During and following the stent insertion bleeding can occur. This can happen at the area where the stent is buy canada goose jacket inserted, and a hematoma (blood clot) can form. It not a serious complication, Canada Goose sale but it worries patients as it may take several weeks to resolve. There also the risk of allergic reaction or stroke. And always the chance that the stent will become blocked in the weeks or months following canada goose uk shop its insertion. canada goose factory outlet


canada goose outlet shop Remember, if chest pain occurs at rest and lasts over five minutes, forget everything and call 911. An immediate stent canada goose uk black friday can be life saving canada goose outlet shop.

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