1. Management of Stable Coronary Disease.
- Author
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Guyton, Robert A.
- Subjects
- *
DECISION making in clinical medicine , *CORONARY heart disease treatment , *CORONARY artery bypass , *CORONARY artery stenosis , *HEART blood-vessels , *PEOPLE with diabetes , *OVERWEIGHT persons , *SURGICAL stents , *MORTALITY , *DISEASES , *MEDICAL care - Abstract
This article presents the third physician opinion on treatment of a hypothetical 65-year-old diabetic patient with coronary heart disease. This physician believes that a stent is not a long term solution to this patient's problems and says a coronary artery bypass graft (CABG) surgery is a better option. It is the author's belief that this procedure bypasses both the current stenosis and future blockages of the arteries. Survival advantage is the only justification for performing an early CABG. The rates of survival for this procedure have been shown to be higher for diabetics and obese people than other measures.
- Published
- 2007
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