Saturday, February 21, 2009

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after drug eluting stent(DES) produce for some time . Finally a head to head study comparing DES and CABG(coronary artery bypass grafting)for left main and triple vessel disease is out in NEJM.
Results is fail to show non inferiority compare to CABG. 12% for CABG compare to 18% DES in one of 4 adverse events.(first -all cause mortality, 2nd, MI 3rd-stroke, 4th revasularisation).There was no difference between the two
groups in death, MI, and stroke at one year.a 1.6% higher incidence of stroke in the CABG group.cardiac mortality
is 1.6% higher in the angioplasty group than the bypass group.
CABG is still mode of choice.The more complex the coronary, the better outcome with CABG compared with PCI.

friends in town.

2 days ago, i got a surprising call from my good friend in college. He is attending a cardiac conference and meet me. It has been a long time since he left for private then rejoin back government after membership. It took him about 10 month to join government as contract. This shows how 'fast' ministry act towards what so called 'shortage' in medical field.
Main thing we do is chatting. I like chatting face to face rather than talking via phone or internet. First method is expensive whereas second method is a bit slow due to our internet is not so advance. Furthermore i like to see friends.
Recently, friend of mine finally pregnant . Congrates pal.