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The new research study
shows drugs and a
healthier lifestyle can be
as effective as many
heart procedures for
patients with stable
coronary artery disease.
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 Reporter

Updated Nov. 16, 2019 4:17PM ET

Published Nov. 16, 2019 2:52PM ET

REUTERS/Yorgos Karahalis

A large,
groundbreaking
new study
found that
many minor
heart
procedures
may be JOIN
unnecessary
and could be EXCLUSIVE CONTENT
no better than
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pills and
lifestyle LOG OUT
improvements,
according to a
federally
funded study
released
Saturday.
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 The study,
entitled
'International
Study of
Comparative
Health
Effectiveness
With Medical
and Invasive
Approaches,'
found that
people with
stable heart
conditions may
have less chest
pain if they get
an invasive
procedure to
improve blood
blow, but it
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won't cut their EXCLUSIVE CONTENT
risk of having a
heart attack. MY ACCOUNT
Researchers
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concluded
these
procedures—
which in most
cases is a stent,
or a tiny mesh
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 up blood
vessels after
the arteries are
cleared—
should be used
more sparingly
in heart disease
patients. About
500,000 heart
stent
procedures are
performed
every year in
the United
States alone,
but the study
indicated only
a fifth of those
are for people
with stable
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heart disease, EXCLUSIVE CONTENT
those defined
as having MY ACCOUNT
clogged arteries LOG OUT
that are
sometimes
accompanied
by chest pain
when they
exert
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 Doctors “have
very strong
emotional
beliefs, and
they’ve been
practicing in a
way that sends
these patients
straight to the
cath lab for
generations,
and that’s not
going to change
overnight,”
John Spertus, a
cardiologist at
Saint Luke’s
Mid America
Heart Institute
and one of the
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study leaders, EXCLUSIVE CONTENT
told the
Washington MY ACCOUNT
Post. “I think LOG OUT
it’s incredibly
important in
this era where
we’re trying to
improve the
value of health
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 patients’
outcomes at a
lower cost."

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Kaiser Health News

The $100 JOIN

million trial
EXCLUSIVE CONTENT
was presented
Saturday at the MY ACCOUNT
American
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Heart
Association, is
the strongest
evidence yet
that costly and
risky heart

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 unnecessary or
premature for
certain
patients. The
study is the
latest
conclusion in a
long and
contentious
medical
argument on
how to treat
artery
blockages and
patients with
chronic heart
disease.

“This study
clearly goes JOIN
against what
has been the
EXCLUSIVE CONTENT
common MY ACCOUNT
wisdom for the
last 30, 40
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years,” Dr.
Glenn Levine, a
Baylor College
of Medicine
cardiologist,
told the AP.
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 According to
the study,
about 17
million
Americans
have clogged
arteries
affecting the
the blood
supply to their
heart and
causing
periodic chest
pain.

While over-the-
counter drugs,
low-cholesterol
diet, and low
blood pressure JOIN
medication are
known to
EXCLUSIVE CONTENT
reduce the risk MY ACCOUNT
of a heart
attack for
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patients with
various heart
conditions,
many doctors
still often
recommend a
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 procedure to
improve blood
flow.

In addition to
stents, doctors
often perform a
bypass—or
open-heart
surgery to
detour
blockages—to
reduce pain
and improve
circulation.

In 2007,
another big
study found
that these
invasive
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procedures are EXCLUSIVE CONTENT
no more
effective than
MY ACCOUNT
medicines for LOG OUT
preventing
heart attacks
and deaths in
non-emergency
situations. The
results
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 widespread
criticism and
doubt,
prompting the
new study
presented
Saturday to
settle the
debate.

The new study

is about twice
as large as the
original,
spanned 37
countries, and
included about
5,000
participants—
many people JOIN
with severe
heart diseases.
EXCLUSIVE CONTENT
Half of the
MY ACCOUNT
participants in LOG OUT
the four-year
study received
only heart
medication and
lifestyle
counseling,
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 half received
stents or
bypass surgery
in addition to
the heart
medication.

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The study
concluded that EXCLUSIVE CONTENT
while people
MY ACCOUNT
who received
the invasive LOG OUT
strategy were at
a slightly lower
risk of cardiac
outcomes,
there was not a
significant
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 between the
two groups.

The study will

look to follow
all the patients
for another five
years for an
even more
accurate set of
results.

Pilar Melendez
Reporter
@pbmelendez
Pilar.Melendez@thedailybeast.com

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Bigger
Than
Impeachment
The Supreme Court has
avoided taking sides in
what Bill Barr calls a
“scorched earth, no-
holds-barred war”
between Congress and
the President. That
could end this week.

David R. Lurie

Published Nov. 16, 2019 7:51PM ET JOIN

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OPINION
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Overlooked as
the nation was
riveted by the
opening days of
the televised
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 impeachment
proceedings
was an appeals
court decision
that started a
clock ticking
for the
Supreme Court
to finally pick a
side in what
Attorney
General Bill
Barr has called
a “scorched
earth, no-
holds-barred
war” between
Congress and a
president who
has
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categorically EXCLUSIVE CONTENT
refused to
cooperate with MY ACCOUNT
its LOG OUT
investigations
into his
misconduct.

Unless the
Supreme Court
acts, Trump’s
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 he has fought
furiously to
keep hidden
since beginning
his campaign
for the
presidency—
will be turned
over to
Congress as
soon as
Wednesday.

Thus, the
nation will
soon begin to
learn whether
the Supreme
Court’s
conservative JOIN
majority is, as
Trump himself
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comprised of
“Trump judges”
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with the
president in
cases where
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 president’s
weak
arguments for
stonewalling
investigations
into his
misconduct.

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