2 Comments
Sep 12Liked by Cardiology Trials

This trial did not move the needle for me when it came out. Esp in light of Courage results. Focal plumbing solution for a systemic (stable) atherosclerotic problem is not an answer for anything.

Marked improvement in “urgent revasc”….but with no resultant or commensurate difference in non-fatal MI and CV death….in a trial with only single blinding (of endpoint adjudication)….is just bias on the part of pts with funny chest pain, and on the part of overzealous docs who Cath people for funny chest pain. Nothing to see here.

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Thank you for this excellent review! In particular, I appreciate the reference to Rajkumar, et al and the terms faith healing and subtraction anxiety. These are two factors which I've observed at play numerous times but heretofore did not have terms for.

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