[ RadSafe ] Acute heart attack patients receiving high ionizingradiation dose
Syd H. Levine
syd.levine at mindspring.com
Wed Nov 18 17:32:12 CST 2009
Needless to say the dose of ionizing radiation involved in medical imaging
is unlikely to really hurt anybody. My concern about the dose from
angiographic procedures is nothing compared to my concern about the efficacy
of the procedure itself. Far too many unnecessary angiograms are performed
in the US, and a number of folks lose their lives because of this
unfortunate fact (not to mention allergic reactions to the radio opaquing
dyes, kidney damage, etc.).
Aside from the general overuse of this high-profit procedure, no heart
attack patient should be subjected to the stress of an angiogram or a bypass
procedure with the exception of those in acute cardiac shock.
We know that medical (drug) treatment is as good as or better than stenting
from the COURAGE trial, yet invasive cardiologists have largely ignored
this. I would add that the medical treatment is typically inadequate, with
what amounts to pediatric doses of ACE Inhibitors, Beta Blockers, etc. So
for it to look as good as or better than stenting when medical treatment is
usually half-assed is a real indictment of stenting.
Ten years ago I was told I was a walking dead man by an invasive
cardiologist. Fortunately, I found a non-invasive guy who put me on drugs.
I have yet to have that angiogram that was scheduled as an emergency
procedure for the next day.
I urge any of you who land in the grips of a cardiologist to read Dr. Howard
Wayne's books on the subject. And if you hear a cardiologist say "we caught
this just in nick of time", run like hell.
Syd H. Levine
AnaLog Services, Inc.
Phone: (270) 276-5671
Telefax: (270) 276-5588
E-mail: analog at logwell.com
Web URL: www.logwell.com
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