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The Occluded Artery Trial published in the NEJM in 2006 concluded that opening a totally blocked artery during an acute MI has no benefit. Yet this information is being ignored because cardiologists are still doing revascularization procedures more than 24 hours after an acute MI. Part of the problem is that insurance companies continue to reimburse for these...

Aspirin is the most used drug in the US. They are not safe because of bleeding and perforations. Over the counter substitutes are readily available and work well and their acceptance.        

The logic of identifying blockages in the coronary arteries and opening them with either a stent or surgical bypass makes a lot of sense. However, logic does not always turn out to provide the correct answer. We do nearly 1 million stent procedures to open blocked arteries every year in the US but unless we do them in the acute setting of a heart attack they...

The logic of identifying blockages in the coronary arteries and opening them with either a stent or surgical bypass makes a lot of sense. However, logic does not always turn out to provide the correct answer. We do nearly 1 million stent procedures to open blocked arteries every year in the US but unless we do them in the acute setting of a heart attack they...