Saturday February 22, 2020

Medicines Also Work Well as Surgeries for Heart Diseases: Study

Hochman co-led the study and gave results Saturday at an American Heart Association conference in Philadelphia

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Medicines
To doctors’ surprise, study participants who had a procedure were more likely to suffer a heart problem or die over the next year than those treated with Medicines alone. Pixabay

People with severe but stable heart disease from clogged arteries may have less chest pain if they get a procedure to improve blood flow rather than just giving Medicines a chance to help, but it won’t cut their risk of having a heart attack or dying over the following few years, a big federally funded study found.

The results challenge medical dogma and call into question some of the most common practices in heart care. They are the strongest evidence yet that tens of thousands of costly stent procedures and bypass operations each year are unnecessary or premature for people with stable disease.

That’s a different situation than a heart attack, when a procedure is needed right away to restore blood flow.

For nonemergency cases, the study shows “there’s no need to rush” into invasive tests and procedures, said New York University’s Dr. Judith Hochman.

There might even be harm: To doctors’ surprise, study participants who had a procedure were more likely to suffer a heart problem or die over the next year than those treated with medicines alone.

Hochman co-led the study and gave results Saturday at an American Heart Association conference in Philadelphia.

Less testing, invasive treatment

“This study clearly goes against what has been the common wisdom for the last 30, 40 years” and may lead to less testing and invasive treatment for such patients in the future, said Dr. Glenn Levine, a Baylor College of Medicine cardiologist with no role in the research. Some doctors still may quibble with the study, but it was very well done “and I think the results are extremely believable,” he said.

Medicines
People with severe but stable heart disease from clogged arteries may have less chest pain if they get a procedure to improve blood flow rather than just giving Medicines a chance to help, but it won’t cut their risk of having a heart attack or dying over the following few years, a big federally funded study found. VOA

About 17 million Americans have clogged arteries that crimp the heart’s blood supply, which can cause periodic chest pain. Cheap and generic aspirin, cholesterol-lowering drugs and blood pressure medicines are known to cut the risk of a heart attack for these folks, but many doctors also recommend a procedure to improve blood flow.

That’s either a bypass — open-heart surgery to detour around blockages — or angioplasty, in which doctors push a tube through an artery to the clog, inflate a tiny balloon and place a stent, or mesh scaffold, to prop the artery open.

Earlier study

Twelve years ago, a big study found that angioplasty was no better than medicines for preventing heart attacks and deaths in nonemergency heart patients, but many doctors balked at the results and quarreled with the methods.

So the federal government spent $100 million for the new study, which is twice as large, spanned 37 countries and included people with more severe disease — a group most likely to benefit from stents or a bypass.

All 5,179 participants had stress tests, usually done on a treadmill, that suggested blood flow was crimped. All were given lifestyle advice and medicines that improve heart health. Half also were given CT scans to rule out dangerous blockages, then continued on their medicines.

The others were treated as many people with abnormal stress tests are now: They were taken to cardiac catheterization labs for angiograms. The procedure involves placing a tube into a major artery and using special dyes to image the heart’s blood vessels. Blockages were treated right away, with angioplasty in three-fourths of cases and a bypass in the rest.

Doctors then tracked how many in each group suffered a heart attack, heart-related death, cardiac arrest or hospitalization for worsening chest pain or heart failure.

Results are in

After one year, 7% in the invasively treated group had one of those events versus 5% of those on medicines alone. At four years, the trend reversed — 13% of the procedures group and 15% of the medicines group had suffered a problem. Averaged across the entire study period, the rates were similar regardless of treatment.

If stents and bypasses did not carry risks of their own, “I think the results would have shown an overall benefit” from them, said another study leader, Dr. David Maron of Stanford University. “But that’s not what we found. We found an early harm and later benefit, and they canceled each other out.”

Why might medicines have proved just as effective at reducing risks?

Bypasses and stents fix only a small area. Medicines affect all the arteries, including other spots that might be starting to clog, experts said.

Drugs also have improved a lot in recent years.

Having a procedure did prove better at reducing chest pain, though. Of those who had pain daily or weekly when they entered the study, half in the stent-or-bypass group were free of it within a year versus 20% of those on medicines alone. A placebo effect may have swayed these results — people who know they had a procedure tend to credit it with any improvement they perceive in symptoms.

Medicines
Twelve years ago, a big study found that angioplasty was no better than Medicines for preventing heart attacks and deaths in nonemergency heart patients, but many doctors balked at the results and quarreled with the methods. Pixabay

Dr. Alice Jacobs, a Boston University cardiologist who led a treatment-guidelines panel a few years ago, said any placebo effect fades with time, and people with a lot of chest pain that’s unrelieved by medicines still may want a procedure.

“It’s intuitive that if you take the blockage away you’re going to do better, you’re going to feel better,” but the decision is up to the patient and doctor, she said.

ALSO READ: Income Tax Officers Quit Work for Mental Peace

The bottom line: There’s no harm in trying medicines first, especially for people with no or little chest pain, doctors said. (VOA)

Next Story

Why People Are Turning To CBD Vs Traditional Medicine

CBD, also known as cannabidiol, is a component of marijuana or hemp

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CBD
CBD is a component of marijuana or hemp.

CBD, also known as cannabidiol, is a component of marijuana or hemp. It has been delicately processed to be without THC, the addictive component of marijuana. Because of this, CBD has become even more prevalent in this day and age. Adding the promising effects that CBD gives in helping treat various illnesses,  more and more people are now turning to CBD.

Potent concentrate is an all-natural form of healing people’s physical and mental illnesses. This gives them a break from being too dependent on the usual synthetic medicine. That said, here are some of the other great reasons why CBD is a sought-after choice for medical treatment:

1. It Helps Reduce Anxiety

One of the most common mental health problems that can be helped by CBD products is anxiety. It works by balancing the endocannabinoid system of the body. Through this, the mind and body get to relax. When your mind can relax better, all sorts of anxiety that you feel are also catered to.

CBD
With CBD, you can relax more and focus on the healing of your physical ailment.

This is very important to highlight because usually when a person is sick, there is a natural tendency to have anxiety over their health. This is a natural after-result of the worries that patients will have concerning the outcome of their health. Often, these are unnecessary panic attacks. With this, you can relax more and focus on the healing of your physical ailment.

2. Its Side Effects Are Minimal

The general majority of people who take in CBD won’t experience any side effects at all. This is one of the good things about natural medicine. Because it’s chemical-free, there are no harmful chemicals that may also harm your health. 

In this regard, however, you need to remember to keep your dosage low. When your goal is to experience only the good effects, and not the adverse side effects, you have to be cautious about the proper dosage. Never take anything beyond what is prescribed to you. Whenever you’re unsure, seek the advice of a health professional.

Examples of side effects that may be experienced, although rarely, include:

  • Sleepiness, so it’s not for you to take if you’re going to be out driving
  • Possible allergies to the plant compounds
  • Dry mouth
  • Diarrhea
  • Nausea

3. Its Dose Can Be Better Controlled

Another reason why patients have become so drawn now to CBD is that its dose can easily be controlled over other forms of medication. For instance, when you take a synthetic pill, generally, you take it as a whole. Whatever chemical dosage is inside, you’ve got no other choice but to take it. This removes an element of control from you.

With CBD, you have more control over the dose that you’d like to take. This makes you a more proactive and hands-on patient. For instance, with CBD tinctures, you measure the dose yourself and apply it through a dropper. That way, you’re better assured that you’re not taking in any more than you should.

4. It Has Now Been Legalized

This may seem like a very apparent reason, but yes, people are turning to it now for the very reason that it has been legalized in many states. Just double-check to see if the state you’re in is also on the same page. Years back, many individuals have already wanted to use CBD for medical purposes because of its promising effects. Some of these individuals include patients suffering from cancer-related pain and symptoms, children who have no other cure for their epileptic seizures, and other health issues.

CBD
CBD is an all-natural form of healing people’s physical and mental illnesses. Pixabay

Now that the FDA has considered it as a legal drug, many doctors have also started prescribing this natural medication to their patients who ask for it. This broader acceptance in states has made people turn to CBD more than the usual, traditional medicines. 

5. It’s Easy To Take

Generally, the usual synthetic medicines are limited in form only to syrups, capsules, pills, and tablets. This shouldn’t be a problem to take for those of you who don’t have an aversion to these forms of medication. But, others don’t like taking too many pills. This fact is precisely the reason why people have also started turning to CBD.

CBD, as it’s sold in dispensaries, comes in many forms. This makes it easier to take in, as your options aren’t limited. There are oils, tinctures, wax, topical creams, lotions, gummies, and many others. Take a good look around a dispensary, and you’ll be amazed at the many options you have. This versatility has made it a more attractive choice for those who need CBD as a form of medication.

Also Read- Know about the Benefits and Usage of Nutmeg and Rosehip Essential Oil

Conclusion

The drug is an attractive choice for individuals that need healing because of the holistic approach that it provides. Because it’s an all-natural form of medication, it takes away the dangers of feeling the side effects that are found in the usual form of synthetic and chemically-laden medicines. Also, CBD is made only to have little to no side effects at all. With CBD, patients are given a chance to go to the root of all their health concerns, minus the dangers.