ISCHEMIA Trial 2019 - It's Huge But Will It Really Change Everything?

5 years ago
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ABOUT THIS VIDEO: Do patients with stable ischemic heart disease reaping tons of benefits from stents or bypass surgery? According to the latest ISCHEMIA trial, no, invasive procedures aren't bringing any substantial benefits in terms of preventing cardiovascular events. The message isn't something new, as this is what the COURAGE and ORBITA trials had been saying all along.

Here are some links to articles about the ISCHEMIA trial (International Study of Comparative Health Effectiveness With Medical and Invasive Approaches):
- https://www.jwatch.org/fw116042/2019/11/18/ischemia-invasive-treatment-not-better-meds-patients-with
- https://www.acc.org/latest-in-cardiology/clinical-trials/2019/11/15/17/27/ischemia
- https://professional.heart.org/professional/ScienceNews/UCM_505226_ISCHEMIA-Clinical-Trial-Details.jsp
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ABOUT DR. BREWER:
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack & stroke prevention clinic.

At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine or in-person if you're in the Lexington, KY area. We find a lot of undiagnosed prediabetes or insulin resistance. Treating unrecognized risk factors like prediabetes allows the reduction of risk and prevention of disease.

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