Coronary Artery Disease, or CAD is a new age disease that was not as rampant globally earlier as it is now. The disease has evolved with humankind’s unending pursuit of knowledge and wealth. This simple timeline of CAD management stretching over 50 years will help you understand how cardiac treatment has advanced, and whether it was for better or worse.
Lifestyle modification and medical therapy was the only option of treatment in cases if chronic CAD. Cardiologists now say that this absence of choice was a blessing.
Coronary artery bypass graft (CABG) or cardiac bypass surgery, as it is commonly known, was discovered. It was a major breakthrough of that time.
Balloon angioplasty revolutionized the management of CAD.
Stents began to be used in the coronary artery. At that time though, it was a risky procedure and was used only as a last resort.
Stents began to be used liberally in every percutaneous coronary intervention (PCI). No PCI was complete without a stent.
Simple metal bare stents are not enough, as they cause restenosis (recurrence of stenosis or narrowing of a blood vessel).
Bare metal stents become too notorious for causing restenosis and are now considered too dangerous to use.
Drug eluting stents are found, which eliminate restenosis by 100%.
Drug eluting stents cause sub-acute stent thrombosis in patients.
Bio-erodible polymer in drug eluting stents to blame for causing stent thrombosis.
o Polymer free stents become the standard of care.
o Medical management is superior to PCI, unless there is no option. PCI to be avoided whenever possible.
The fundamentals of CAD management return a full circle and remain unaltered. Life style modification, regular exercise, risk factor reduction, optimal doses of anti-anginal drugs, statins and aspirin, which are the time tested recipe for effective management of CAD, become the standard of CAD management once again.
It is found time and again that common sense protects more human beings than modern science. Doctors (especially cardiologists), however are more wary now than they were in the past, and do not use surgical procedures unless completely necessary for survival. There are leading cardiologists in Gurgaon and Delhi NCR, in the top heart hospitals in Gurgaon and Delhi NCR with decades of experience in cardiology and cardiac surgery, who understand the inner working of not only the heart, but medicine in general. These veterans know what they’re doing, they’ve been doing it for a long time now.
My name is Gaurav Gautam, I am Graduate in English (Hons) from Delhi University. I am professional content writer but I am very enthusiastic for health & fitness industry. Above article is about Coronary Artery Disease Management - Find the Best Cardiology Hospital in India.