Cardiologists love a good stent, but it’s a procedure that carries some risk – many patients with angina are referred for angioplasty, but it’s important to realise the benefit of medical therapy – optimal medical therapy – on outcomes. This meta-analysis from the Archives of Internal Medicine looks at studies reflecting recent practice, comparing stent insertion at presentation with medical therapy.
And the benefit for stenting is not there. Death rates, non-fatal MI, revascularisation rates and persistent angina rates were equivalent between the two groups, suggesting that initial stent implantation of stable CAD is not better than medical therapy.
source | Archives of Internal Medicine
image | FDA