We have seen the actions of several adventurous
cardiologists and cardio-thoracic surgeons. It shows that how
much insult the poor heart can tolerate from us. Please learn
to respect this great piece of engineering from nature. After
all, the basic treatment for ischaemic heart disease is life
style modification and medical therapy. The PTCA or CABG helps
only a selected group of patients.
These days while several ways of therapy are
available it is important to develop a balanced view and not
be driven by a desire to do the procedures you have learnt to
perform.
Both PTCA or CABG are not a good options for the
patients as both are offering a mechanical solution for a problem
which we basically do not understand. Imagine the tuberculosis patients
nearly half a century age when someone was doing a plumbage or thoracoplasty
or cutting the phrenic nerve etc, (we still see some old patients
who have lived through these heroics) and see the scenario now with
the anti-tuberculous chemotherapy.
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