Stents And The Leveling Of The Anatomic Playing Field

As summarized in Table 4-7, both bare metal stents and drug-eluting stents have been tested, by randomized trial and/or registry, in a number of the anatomic classifications that the ACC/AHA lesion scheme defined as high-risk.5 The reductions in both acute and long-term adverse outcomes and improvements in clinical success are major components of the broadening of the anatomic application of PCI to relief of myocardial ischemia. A major test of this "leveling of the anatomic playing field" hypothesis will be whether the proportion of screened patients who are enrolled in the trials of drug-eluting stents versus CABG, such as the National Institutes of Health (NIH)-sponsored Future Revascularization Evaluation in patiEnts with Diabetes mellitus: Optimal Management of multivessel disease (FREEDOM) trial, is not considerably higher than the less than 10% of almost all of the trials of pre-stent PCI versus CABG (see Table 4-3).2,8

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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