WSJ Article New Study Stirs Debate

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A New Study

Study Stiring Debate post by Mehran Khorsandi MD
Study Stiring Debate post by Mehran Khorsandi MD
The Wall Street Journal’s article titled Which Heart Patients Need Stents? A New Study Stirs Debate written by Sumathi Reddy is very well done and balanced.
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However, it is a small study to which small studies have lower statistical power.  The study looked at a very healthy population with single vessel disease many of which were less than 70% stenotic.
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Stenotic meaning is an abnormal narrowing in a blood vessel or other tubular organ or structure. It is also sometimes called a stricture (as in urethral stricture). 

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As a rule we do not stent less than 70% stenosis anyway.   At best, this study would apply to only 20% of the cases done in the US, according to one of the authors.
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Single lesion, single stent.  Does not apply to bifurcations anyway.
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I also believe that this article is in no comparison with how the NYtimes reflected on the story.

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