{"id":3036,"date":"2025-01-09T08:12:31","date_gmt":"2025-01-09T08:12:31","guid":{"rendered":"https:\/\/bullseye.ac\/blog\/?p=3036"},"modified":"2025-01-09T08:12:34","modified_gmt":"2025-01-09T08:12:34","slug":"the-debate-over-stents-what-patients-need-to-consider","status":"publish","type":"post","link":"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/","title":{"rendered":"The Debate Over Stents: What Patients Need to Consider"},"content":{"rendered":"\n

Number of words: 651<\/p>\n\n\n\n

An international study with significant participation from India has found no extra benefits from coronary stent implants or bypass procedures over strategies that use medicines and lifestyle changes to treat moderate or severe heart disease. The study involved 320 sites worldwide, including 19 government and private Indian hospitals. It found no reduction in heart attacks or cardiovascular deaths among patients who had received coronary stents or bypass procedures compared with those treated only with medicines. The results imply that routine invasive procedures \u2014 stents or bypass surgeries \u2014 when added to medical therapy and lifestyle changes fail to reduce major adverse cardiac events.<\/p>\n\n\n\n

On Saturday, the researchers presented their findings at the American Heart Association\u2019s scientific meeting. Cardiologists cautioned that the results applied only to patients with chronic stable angina, marked by brief episodes of pain and squeezing or tightness in the chest after physical exertion or stress. They said these results did not apply to patients experiencing heart attacks or suffering from unstable angina that occurs at rest or with little exertion and does not get relieved with medicines. For these patients, they said, a stent or a bypass may be a life-saving procedure.<\/p>\n\n\n\n

\u201cThese findings have huge ramifications for India and other countries,\u201d Balram Bhargava, a senior cardiologist and the study\u2019s principal investigator in India, and currently the director-general of the Indian Council of Medical Research, told The Telegraph. Cardiologists estimate that a significant proportion of patients with chronic stable angina are currently prescribed coronary stents or bypass operations. Figures collected by the Cardiology Society of India show that around 74,926 (19.3 per cent) of the 387,416 patients who received stents across India during 2017 had chronic stable angina. The results suggest that these patients could have been treated through optimal medical therapy \u2014 a combination of medicines such as aspirin, anti-lipid statins and anti-blood-pressure drugs \u2014 to achieve the same level of protection available from invasive procedures.<\/p>\n\n\n\n

The International Study of Comparative Health Effectiveness with Medical and Invasive Approaches (Ischemia), funded by the US government and led by researchers from the New York University Grossman School of Medicine and Stanford University, had tracked 5,179 patients in 37 countries. \u201cIndia had a very significant role in the study, accounting for around one-fifth of the patients observed,\u201d said Bhargava, who has himself been an interventional cardiologist and had pioneered the development of low-cost indigenous coronary stents.<\/p>\n\n\n\n

\u201cWe\u2019ve seen major advances in medical therapy over the past 10 or 15 years. The message is simple: for patients with stable angina, it\u2019s time to stop messing around with invasive procedures.\u201d Ambuj Roy, professor and senior cardiologist at the All India Institute of Medical Sciences, New Delhi, one of the study sites in India, said the results were not entirely surprising because multiple studies had earlier revealed the benefits of optimal medical therapy.<\/p>\n\n\n\n

\u201cBut these results would justify a change in clinical practice,\u201d Roy told this newspaper. \u201cThe study\u2019s large size and its design to directly compare the benefits from two sets of treatment strategies warrants the selective use of invasive procedures.\u201d Roy added: \u201cIn emergency situations, including unstable angina or a heart attack, catherisation and coronary stent implantation is a life-saving procedure.\u201d<\/p>\n\n\n\n

Among the patients tracked by the study, 44 per cent experienced angina several times a month and 22 per cent had angina episodes daily or weekly. The study recorded heart attacks or cardiovascular deaths in 11.7 per cent of the 2,588 patients who had received stents or bypass procedures, and in 13.9 per cent of the patients treated with only medicines and lifestyle changes. The difference was not statistically meaningful to rate invasive procedures as better than medications. \u201cIn line with evidence from previous studies, our results suggest that the routine use of heart procedures was not superior in reducing risk\u2026 compared with treatment only with optimal medical therapy,\u201d Judith Hochman, the study\u2019s chair at New York University Langone Health, said.<\/p>\n\n\n\n

Excerpted from<\/em> https:\/\/www.telegraphindia.com\/health\/alert-on-stent-bypass-surgery\/cid\/1720122<\/em><\/a><\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Number of words: 651 An international study with significant participation from India has found no extra benefits from coronary stent implants or bypass procedures over strategies that use medicines and lifestyle changes to treat moderate or severe heart disease. The study involved 320 sites worldwide, including 19 government and private Indian hospitals. It found no … Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_uag_custom_page_level_css":"","footnotes":""},"categories":[49],"tags":[],"acf":[],"yoast_head":"\nThe Debate Over Stents: What Patients Need to Consider - BullsEye<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Debate Over Stents: What Patients Need to Consider - BullsEye\" \/>\n<meta property=\"og:description\" content=\"Number of words: 651 An international study with significant participation from India has found no extra benefits from coronary stent implants or bypass procedures over strategies that use medicines and lifestyle changes to treat moderate or severe heart disease. The study involved 320 sites worldwide, including 19 government and private Indian hospitals. It found no ... Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/\" \/>\n<meta property=\"og:site_name\" content=\"BullsEye\" \/>\n<meta property=\"article:published_time\" content=\"2025-01-09T08:12:31+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-09T08:12:34+00:00\" \/>\n<meta name=\"author\" content=\"Bhavya Chowdhury\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bhavya Chowdhury\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/\",\"url\":\"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/\",\"name\":\"The Debate Over Stents: What Patients Need to Consider - BullsEye\",\"isPartOf\":{\"@id\":\"https:\/\/bullseye.ac\/blog\/#website\"},\"datePublished\":\"2025-01-09T08:12:31+00:00\",\"dateModified\":\"2025-01-09T08:12:34+00:00\",\"author\":{\"@id\":\"https:\/\/bullseye.ac\/blog\/#\/schema\/person\/992754c8575e3584d4c0dbcab059dd23\"},\"breadcrumb\":{\"@id\":\"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/bullseye.ac\/blog\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"The Debate Over Stents: What Patients Need to Consider\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/bullseye.ac\/blog\/#website\",\"url\":\"https:\/\/bullseye.ac\/blog\/\",\"name\":\"BullsEye\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/bullseye.ac\/blog\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/bullseye.ac\/blog\/#\/schema\/person\/992754c8575e3584d4c0dbcab059dd23\",\"name\":\"Bhavya Chowdhury\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/bullseye.ac\/blog\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/96cc080647ada77871a0fe51c103b135?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/96cc080647ada77871a0fe51c103b135?s=96&d=mm&r=g\",\"caption\":\"Bhavya Chowdhury\"},\"url\":\"https:\/\/bullseye.ac\/blog\/author\/bhavya-chowdhury\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"The Debate Over Stents: What Patients Need to Consider - BullsEye","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/","og_locale":"en_US","og_type":"article","og_title":"The Debate Over Stents: What Patients Need to Consider - BullsEye","og_description":"Number of words: 651 An international study with significant participation from India has found no extra benefits from coronary stent implants or bypass procedures over strategies that use medicines and lifestyle changes to treat moderate or severe heart disease. The study involved 320 sites worldwide, including 19 government and private Indian hospitals. It found no ... Read more","og_url":"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/","og_site_name":"BullsEye","article_published_time":"2025-01-09T08:12:31+00:00","article_modified_time":"2025-01-09T08:12:34+00:00","author":"Bhavya Chowdhury","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Bhavya Chowdhury","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/","url":"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/","name":"The Debate Over Stents: What Patients Need to Consider - BullsEye","isPartOf":{"@id":"https:\/\/bullseye.ac\/blog\/#website"},"datePublished":"2025-01-09T08:12:31+00:00","dateModified":"2025-01-09T08:12:34+00:00","author":{"@id":"https:\/\/bullseye.ac\/blog\/#\/schema\/person\/992754c8575e3584d4c0dbcab059dd23"},"breadcrumb":{"@id":"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/bullseye.ac\/blog\/book-reviews-summary\/the-debate-over-stents-what-patients-need-to-consider\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/bullseye.ac\/blog\/"},{"@type":"ListItem","position":2,"name":"The Debate Over Stents: What Patients Need to Consider"}]},{"@type":"WebSite","@id":"https:\/\/bullseye.ac\/blog\/#website","url":"https:\/\/bullseye.ac\/blog\/","name":"BullsEye","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/bullseye.ac\/blog\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/bullseye.ac\/blog\/#\/schema\/person\/992754c8575e3584d4c0dbcab059dd23","name":"Bhavya Chowdhury","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/bullseye.ac\/blog\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/96cc080647ada77871a0fe51c103b135?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/96cc080647ada77871a0fe51c103b135?s=96&d=mm&r=g","caption":"Bhavya Chowdhury"},"url":"https:\/\/bullseye.ac\/blog\/author\/bhavya-chowdhury\/"}]}},"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"Bhavya Chowdhury","author_link":"https:\/\/bullseye.ac\/blog\/author\/bhavya-chowdhury\/"},"uagb_comment_info":0,"uagb_excerpt":"Number of words: 651 An international study with significant participation from India has found no extra benefits from coronary stent implants or bypass procedures over strategies that use medicines and lifestyle changes to treat moderate or severe heart disease. The study involved 320 sites worldwide, including 19 government and private Indian hospitals. It found no…","_links":{"self":[{"href":"https:\/\/bullseye.ac\/blog\/wp-json\/wp\/v2\/posts\/3036"}],"collection":[{"href":"https:\/\/bullseye.ac\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bullseye.ac\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bullseye.ac\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/bullseye.ac\/blog\/wp-json\/wp\/v2\/comments?post=3036"}],"version-history":[{"count":1,"href":"https:\/\/bullseye.ac\/blog\/wp-json\/wp\/v2\/posts\/3036\/revisions"}],"predecessor-version":[{"id":3037,"href":"https:\/\/bullseye.ac\/blog\/wp-json\/wp\/v2\/posts\/3036\/revisions\/3037"}],"wp:attachment":[{"href":"https:\/\/bullseye.ac\/blog\/wp-json\/wp\/v2\/media?parent=3036"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bullseye.ac\/blog\/wp-json\/wp\/v2\/categories?post=3036"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bullseye.ac\/blog\/wp-json\/wp\/v2\/tags?post=3036"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}