Cardiology is among the top medical specialty in the current era. It deserves this special status as it is probably the a specialty which is based on maximum scientific evidence and involves , the most advanced diagnostic and treatment modalities.
As on today , a cardiologist can deliver a stent anywhere along the coronary tree and even implant a valve percutaneously . A surgeon can put multiple grafts in a beating heart with a patient totally awake !
A person can live with an artificial heart for months and a cadaver heart can give fresh lease of life to a terminal heart failure patient .
Why such a glorious filed of cardiology should often evoke a pessimistic reaction in the minds of public and media ?
This is because for a simple reason , in the name of technology , we tend to indulge in scientific excesses.
This article in Circulation is not a surprise then . . . Click on the link, Thanks to AHA this comes free of cost !
For pdf article click on the image
Note : Non adherence , inappropriate therapy, Class 2b indications , are simply semantics in stage play !
Actually these terminologies are synonymous with
- Guideline violations,
- Unscientific ,
- Empirical.
- Unethical or even quackery
Dr.S.Venkatesan MD 
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