Sham surgery tests prove that procedures such as non-pair-time stent do not give any benefit for angina pain-risk for millions of patients.
Angioplasty and Stent-Puctainius Coronary Intervention (PCI)-Stander Are “The most common aggressive procedures were performed in the United States.” However, he appeared to offer immediate relief from angina chest pain in stable patients with coronary artery disease, which was not actually at a low risk of heart attack or death. This is because atherosclerotic plaques narrow Blood flows are not those that burst and kill us. Symptomatic control Is However, it is important, and what we do in medicine, but there is a bad track record of cardiology when it comes Display Processes that do not really really help.
Case in point: internal breast artery ligation. Although this Was not Create very physical understanding – Why will the arteries be tied on the chest wall and the breasts will somehow improve coronary artery circulation? – it Work 95 percent like an attraction with immediate improvement in hundreds of patients. Can it be just a wide placebo effect, and the surgeons were biting in people for nothing? There is only one way to find out: Cutting In people for nothing.
As I discuss in my video Does heart stent procedures work for angina chest pain?People were Random To get real surgery or a sham (or fake) surgery where the patients were open and the surgeon reached the final stage, but did not actually close those arteries. Result? “The patients who went through a sham operation experienced the same relief.” Look at the Testures: “Practically, I felt better.” “I am about 95 percent better.” “Not even chest troubles with exercise.” “Believe that I am fine.” And all these are those who got Fake surgerySo, this was just an extraordinary placebo influence. Think about it. “Fearful, poorly informed man with angina [chest pain]Tight and teasing itself, making itself sensitive to every turn of chest problems, which then comes into the atmosphere of a great medical center and a powerful positive personality and sees and listens the anticipated results from the suggested therapy, not the total patient who leaves the organization with a trademark mark. “He hears how great he is to feel, passes through the entire operation, and leaves a new man with that trademark mark.
A sham patient was really cured, though. “The patient is optimistic and says he feels much better.” The next day’s office note reads: “The patient died after moderate diligence.” This has happened again and again.
What if we burn Holes in the heart muscle with lasers to create channels for blood flow? It looked great until it was proved that it does not work at all. Cutting Our kidney veins were manipulated as a treatment to treat high blood pressure until Sham surgery Proven That process was also a sham. “Placebo-controlled tests are required Re -search Many times in cardiology, it is usually quite surprised. “Before they argue,” often a therapy is considered so beneficial that a placebo-controlled test is considered unnecessary and perhaps immoral. “The same with the stent.
Every year hundreds of thousands of angioplasty and stent are performed, yet placebo-controlled tests have never been done. Why? Because cardiologists were so undeniably sure that it works “it can be immoral to highlight patients for an aggressive placebo process.” Why do we already know why do a fake surgery to prove something? “When patient Are They know that they have PCI, they have a clear lack of angina and improve the quality of life. “But what if they did not know that a stent was placed inside them?
enter Orbita Trial. Finally, “Anti -nginal medicine Is Only seriously taken when symptoms against a placebo pill are blind evidence of relief, why not pits against a placebo process? “In both groups, in doctors Fighted thread A catheter through the patient’s waist or wrist and, with X-ray guidance, to the blocked artery. Once when the catheter reached the blockage, the doctor put a stent or, if the patient was getting the sham process, just kicked the catheter. ,
Researchers had problems Procurement Study funded. They were told: “We know the answer to this question – of course, PCI works.” And even what the researchers had thought themselves. He himself was a traditional cardiologist. They just wanted to prove it. Boy, were they surprised. Even in patients with severe coronary artery, there were no angioplasty and stent increase Exercise more time than fake process.
“Incredible,” Reading new York Times Topic, Comment This result was “shocked the leading cardiologist by combating decades of clinical experience.” In response to a shock, researchers wrote That they “sympathize with its instinct to” shock and test our community. Applying a positive spin can make the reception of the test smooth, but our duty as authors is to maintain scientific integrity. “
Although something “Paved To challenge the existing dogma around a process that has become regular, underlying and profitable Questioned Their morality. Eventually, four patients of the placebo group had complications from the insertion of the guide wire and required emergency measures to seal the tears made in the artery. There Were Three major bleeding incidences in the placebo group, so they faced risk even without the possibility of profit. But “from far away Show The risk of sham-controlled PCI tests, shows what is being done on a regular basis, without proof of patients. ,
They are some complications in the test ” Dwarf In quantity “by thousands of people who have been killed by this process for years or have been killed. Do you want immoral? Regarding the fact that an aggressive process has taken place Performed Before millions of people were really kept for testing? Maybe “we need Consider Absence, not attendance, to have more injustice of sham control tests. ,
When American was a former commissioner of food and drug administration Asked At the American Heart Association meeting, “Should the device approval require shame control, he thought it was more than a decision for the clinical community: ‘Do you want to achieve the truth or not?” ,
