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Controversies in Care

Two or more treatment options often exist for treating patients with coronary artery disease and heart attacks. With time the better approach will become apparent. Until then, different doctors may favor one treatment option over another and a controversy may exist. This does not mean that one approach is wrong or dangerous. As a matter of fact each approach likely has risks and benefits. What needs to be determined is which approach for which patient.
Direct-to-Consumer Advertising and Choosing a Stent
Direct-to-consumer advertising now extends to stents. The complexities of stent choice, however, are far too complex for a 60-second television commercial.
Which Stent is Best?
Bare-metal stents and drug-coated (drug-eluting) stents have revolutionized treatment of heart attacks and coronary disease. Each of these stents has advantages and disadvantages. Which stent is best?
To Ship or Drip?
Deciding between clot-buster medication (thrombolytic) and balloon and stent procedure (PCI) is a critical first step in treating the severe type of heart attack, known as STEMI.
Coronary Catheterization - Is it for Everyone?
The role of coronary angiography after a heart attack is controversial. While the decision to proceed with this procedure is clear in some patients, it's less so in others.

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