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Richard N. Fogoros, M.D.

Medical Treatment for Coronary Artery Disease

By July 26, 2013

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Evidence from clinical trials now indicates that in patients with stable angina, medical treatment can be as effective as the more invasive treatments we hear so much about, treatments like bypass surgery, angioplasty and stents.

But what, exactly, is medical therapy for angina? It turns out that treating angina medically is an art that involves the judicious use of several treatment modalities, some of which are well-known to doctors and others less so. You can read all about the medical therapy of angina here.

Comments
March 2, 2009 at 12:47 pm
(1) Coronary Artery Disease information says:

Coronary Artery disease is a serious condition. Although several treatment options are present – things such as stopping smoking, decrease lipid and cholesterol intake are essential

August 30, 2010 at 10:15 am
(2) tedbohne says:

What about MI for Pulmonary Hypertension

September 6, 2010 at 12:33 pm
(3) trebornotlwonk says:

Why don’t I ever hear anything about supplements that work just as good as drugs for treating CAD? Don’t doctors know the basic ingredients used to produce drugs before the drug companies load them with chemicals so they can be patented?

September 13, 2010 at 9:14 am
(4) Feargal says:

My question is based on the use of chelation therapy as a means of cleaning clogged up or blocked arteries. It is my understanding that the process involves the use of a manmade amino acid which acts as a binding agent and as such cleans and removes all waste materials in the arterial system and breaks them down for discharge by means of urination. It is also my understanding that this chelation process is widely used in Europe and America and can now be taken orally by adding it to distilled water. I would be very interested in your views on this process and if it is a recommended alternative to clearing blocked arteries.

August 1, 2011 at 5:47 pm
(5) Mary Trelis says:

A first-of-its-kind investigational medical device designed to alert a patient that they are having a heart attack or are very close to having one is now in a Pivotal Study. The AngelMed Guardian System, an implantable cardiac monitor and alerting system, is designed to reduce the time it takes patients to get to the emergency room during an impending heart attack. The device is designed to continuously monitor the heart’s electrical system and provide a warning to go to the ER when critical ST segment changes occur…potentially even before they have heart attack symptoms.

More than a million heart attacks occur every year, and unfortunately, almost 1/3 of those are fatal. Many patients ignore or don’t recognize heart attack symptoms and don’t get to the hospital until three hours or more after symptoms occur. The medical community knows that “time is muscle.” And, there has been much effort made to decrease door to balloon time (the amount of time it takes a patient to get from the emergency room to having angioplasty or other treatment for an occluded artery). Unfortunately, there has been little decrease in mortality because patients continue to delay in seeking help or calling 911.

The Guardian System is currently part of the ALERTS Clinical study and is in 45+ medical centers across the country. The Study has world-renowned cardiologists as Lead Investigators, including Dr. Michael Gibson from Harvard, and Dr. David Holmes from Mayo Clinic.

Scientific evidence is beginning to confirm the potential benefits of the Guardian….an article was published in the August 2010 issue of JACC, Journal of the American College of Cardiology, that shows the Guardian can reduce the three hour average symptom-to-door time to as low as 20 minutes, and that every 30 minute reduction reduces mortality by 7.5% and congestive heart failure by 8.7%.

August 16, 2011 at 11:52 pm
(6) Ray Niland says:

Please comment on EECP.

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