Why ISCHEMIA trial conclusions often make us nervous ?
Why ISCHEMIA trial conclusions often make us nervous?
Because, we know we can’t follow the lessons from it with true intent, as many of us are near slaves to Invisible Interventional forces in some form or other.
I would think, ISCHEMIA trial in one sense was a wasted effort. We always knew OMT is superior to any sort of PCI in stable CAD (Backed up with COURAGE /BARI 2D/and of course the deadly exposure by ORBITA )
Anyway, we did ISCHEMIA for the sake of deniers, with huge public funding to prove the truth as truth.
Still, I am sure ISCHEMIA will be looked down, by most elite Intervenionlists. For the rest, it becomes a tough fight with their conscience.
A recent review on European cardiology review
I don’t know, how many more trials would be required to tell us the same story all over again. Hope we grow enough COURAGE to follow the ISCHEMIA lessons. Let us (try to ) make a full stop on this issue.