PHILADELPHIA – Stents and bypass coronary artery are no more effective than intensive drug treatment and better health habits to prevent millions of Americans from heart attack and death, a major study sheds new light on a major cardiology controversy.  Researchers and physicians have for years been vigorously discussing how best to treat people who have narrowed coronary arteries but do not suffer from acute symptoms.
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The standard treatment is to implant stents – wire mesh tubes that open obstructed arteries – or bypass surgery, or bypass surgery. These procedures are performed even though these patients either have no symptoms or feel chest pain only when they are climbing a few stairs or otherwise exercising.
The survey is the largest and among the most rigorous studies that is still supposed. that while stents and bypass surgery can save the lives of people with heart attacks, they are not necessarily better than cholesterol-lowering drugs and other changes in health habits for most people with chronic or stable coronary disease, which affect 9 , 4 million Americans.
"You will not prolong your life," says Judith Hohman, chairman of the study and senior associate professor of clinical sciences at New York's Grossman University of Medicine.
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But stents or bypass surgery work better than medicine and lifestyle changes alone, alleviating symptoms in people who have frequent angina or pain Breast, Researchers
The findings, published Saturday during the American Heart Association's annual scientific conference, should spark more discussion between patients and their doctors about treatment, she said. "Statins and aspirin are critical," she said. "We need to better understand how to get people to change their risk factors." Lifestyle changes can be difficult to sustain and sustain, she said.
This story continues in The Wall Street Journal.