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January
15,
2009 -- 8:10PM EST
Thank You, Associated Press, for the Too Many
Stents Headline
You see -- I made a bet. When I interviewed
Dr. Nico Pijls on Monday (he is the co principal investigator
of the FAME study) I predicted that on Wednesday and Thursday,
after
the embargo for the publication of his FAME study in the New England
Journal of Medicine was lifted, we would see headlines (or, as
I now call them, "dreadlines") invoking the mantra that "too
many stents are being used", "angioplasty doesn't work",
etc.
Dr. Pijls hoped this wasn't the case, but I was pretty
confident that it would be. However, yesterday I became a bit concerned,
because most of the popular press seemed to report this results of
this trial
fairly accurately -- that is, until
the Associated
Press article came out.
"Fewer
clogged arteries may need stent treatment" is the AP's dreadline,
and that kind of sets up the article. I mean if I had a clogged artery,
I would want it opened. Of course, the FAME trial in no way suggests
that a "clogged artery" should not be stented. The FAME study is about
arteries that show up as having a blockage, but they are not significant
blockages. Any artery that is "clogged",
should be opened.
But these are symantics, and the AP is interested
in...well here's the opening sentence: "A new study
gives fresh evidence that many people with clogged heart
arteries are being overtreated with stents". Overtreated -- once again
implying that there are cardiologists who can't wait to stick a stent in
your artery.
The study results also were reported by KABC in Los Angeles
thus: Study:
Stents could be harmful.
For a rational explication of the FAME study results,
check out our exclusive interview
with Dr. Pijls.
But I welcome the AP article, because now I won my bet.
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