Functional doctor near me
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The life-threatening heart attacks come from the 20%, 30%, and 40% narrowings that become unstable. Those cause chest discomfort (angina) from temporary reduced blood flow to the heart but rarely cause life-threatening heart attacks. It isn’t the severe arterial narrowings that cause most heart attacks. That is difficult for many to understand. The problem is that on an angiogram pre-dating the attack, these plaques are barely recognizable and certainly not of concern. Unstable plaques have higher levels of inflammatory components and are more likely to rupture acutely, setting off a cascade of events that completely blocks the blood vessel. It turns out, most heart attacks are the result of so-called vulnerable or unstable plaque. We usually don’t show them all the other plaque building up in the other arteries. We show patients the dramatic before-and-after pictures of the narrowed blood vessel and the miraculous post-stent result of the vessel now looking wide open. How can our perception be so counter to what the literature shows? Yet, there have been at least 12 randomized trials involving over 5,000 subjects that have shown that stents do not reduce the risk of future heart attacks or the risk of dying.ĭespite this, one study paradoxically showed that patients and physicians alike believe that stenting does prevent heart attacks and reduce the risk of dying. Almost uniformly, patients believe stents reduce their risk of heart attacks. The hundreds of thousands of patients who undergo elective stenting for partial coronary blockages do not benefit in the way they think.
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For that, you want the best plumber you can get to unclog that vessel as quickly as possible.īut here is the problem. If you are in the midst of having a heart attack (an acute myocardial infarction- AMI), you want a plumber.Īn AMI is caused by a sudden and complete blockage of a coronary artery (one of the arteries that supplies the heart with needed blood flow), and interventional cardiologists can stop the heart attack by opening the blockage with angioplasty (balloons) and stents. The best example is the perception of cardiologists as “plumbers,” using coronary stents to open blocked arteries.
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Why do we need a special term to say that a doctor wants to do more than put proverbial band-aids on symptoms? Why is it so unusual for a doctor to want to fix and reverse the underlying causes of disease? Why should that require a unique identifier?Īnd holistic? Does anyone believe that the heart exists in isolation and is not influenced by every other aspect of our health? I find it hard to believe that any doctor would admit they feel this way, yet all too often cardiologists act this way. And don’t get me started on holistic or integrative cardiologist. I am a functional cardiologist and I hate it.