How to humiliate medical therapy for CAD ! Learn how COURAGE and OAT trials were disgraced by the mainstream cardiology comm
Posted Sep 25 2009 10:22pm
Medical profession has evolved over centuries with humble discoveries by genuine researchers in the past . As we pursued science vigorously , we looked for innovations , when innovation work ( or many times shown to work !) we jump to sky , even as some of these innovations fail and crash down to earth , many times we continue to be in the clouds . This is the fundamental problem of modern medical science . When our expectations reached unrealistic proportions , we tend to lose the common sense . Prolonging life and reducing human suffering may be the ultimate aim of the medical profession , but If we try to fight the death with science and money without application of mind , our current life may become miserable ! Thats what is happening for the majority of the population of this planet . After all , death is an essential and final component of life !
Coming to the issue of CAD , in our country , a rich gets a 4th generation drug eluting stent for a insignificant asymptomatic PDA lesion , and poor fellow with left main dies without any intervention . This is fairly acceptable to this uneven world , where a rich westerner dies due to obesity related disease and a poor African dies to malnutrition .
This article is in response to my recent experience when . . . I advised
Simple life style modification & few drugs for a patient with chronic multivessel CAD , I was made to look ordinary , inferior and funny by many of the current generation cardiologists .
Further , the term optimal medical therapy(OMT) for chronic stable angina has evoked laughter in one of the interventional cardiology conferences I attended !
It is a sorry state of affairs for the whole cardiology community , a genuine scientific fact , proven by real life experience as well, is being ridiculed.
Richard Conti tells in this excellent editorial in his journal Clinical cardiology about the issue of medical management of CAD