To angioplasty long after a heart attack instead of drug therapy...or not to angioplasty long after a heart attack instead of drug therapy...that is the issue at the heart of this recent HealthDay article.
New analysis of several studies - some of which are also new, others arguably too old - suggest that the artery-opening procedure could prove beneficial to those who at some point in their past have suffered a heart attack. However, Dr. Judith Hochman, MD, author of one of the analyzed studies, disagrees:
"They're mixing apples and oranges," said Dr. Judith Hochman, the
Harold Snyder professor of cardiology at New York University School of
Medicine and leader of a widely publicized study reported in 2006 that
found no such benefit. "The major principle of meta-analysis is that
you include all studies that meet your criteria in an unbiased way.
Their meta-analysis shows highly significant heterogeneity."
If you find yourself seeking counsel in the hollowed stare of a Denmarkian skull for your own judgment on this matter, consider mixing in newer advice from experts of the day.
Judith S. Hochman, MD, is the Harold Snyder Family Professor of Cardiology, Clinical Chief, Leon H. Charney Division of Cardiology and Director of Cardiovascular Clinical Research at the New York University School of Medicine. Dr. Hochman is an internationally recognized expert on cardiogenic shock.