Critique of Randomized Controlled Trials Comparing Percutaneous Coronary Intervention with Medical Therapy in Patients with Stable Angina

Moderator:

Discussants:

  • Summary:
    Dr. William Frishman from the New York Medical College/Westchester Medical Center, Valhalla, NY moderated the topic "Critique of Randomized Controlled Trials Comparing Percutaneous Coronary Intervention with Medical Therapy in Patients with Stable Angina" with Drs. Jeffrey Borer from the State University of New York Downstate Medical Center, Brooklyn, NY, Joseph Alpert from the University of Arizona in Tucson, Tucson, AZ, and Arthur Fass from the New York Medical College/Westchester Medical Center, Valhalla, NY and New York Medical College/Phelps Memorial Hospital, Sleepy Hollow, NY.
    The discussion focused primarily on:
    (1) Clinical trials and practical experiences dealing with patients who have stable angina;
    (2) the importance of individualizing therapy based on a patient's risk factors;
    (3) whether or not the use of invasive and aggressive approaches lead to minimizing sudden death;
    (4) the use of diagnostic tests used to evaluate patients with classic anginal symptoms
    (5) the use of coronary bypass grafting compared to angioplasty;
    (6) the use of ACE inhibitors, aspirin, beta-blockers, calcium channel blockers and nitrates for patients with stable angina;
    (7) ruptured plaques and risks;
    (8) the treatment of diabetic patients;
    (9) the treatment of geriatric angina patients;
    (10) healthcare costs and unnecessary angioplasties; and
    (11) non-pharmacologic risk reducing interventions.
    (Med Roundtable Cardiovasc Ed. 2012;3(2):85-94) ©2012 FoxP2 Media, LLC

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