Cardiologists at confused cross roads !
Perils of limited Intellect & Infinite greed
When not so appropriately trained cardiologists do Inappropriate things “use becomes misuse” . . . then, it won’t take much time for science to become total abuse. That’s what happened with the murky world of coronary stents .No surprise, it’s time to firefight the healers instead of the disease !
Now ,Comes the ORBITA study . Yes , it looks like a God sent path breaking trial that spits some harsh truths not only in cardiology, but also in behavioral ethics .Let us not work over time and hunt for any non-existing loop holes in ORBITA. Even if it has few, it can be condoned for sure as we have essentially lived out of flawed science for too long Injuring many Innocent hearts !
Yes , its enforced premature funeral times for a wonderful technology !
GIF Image courtesy http://www.tenor.com
Meanwhile, let us pray for a selective resurrection of stenting in chronic coronary syndromes and stop behaving like lesser professionals !
Postample
Extremely sorry . . . to all those discerning academic folks , who are looking for a true scientific review of ORBITA , please look elsewhere !
Dr.S.Venkatesan MD 
Just a post-script to my earlier comments. I go to the gym almost daily and, post-PCI, have worked my treadmill exercise up to level- 7 incline (3 before PCI). I only do 2.5 speed, and I’m really not interested in increasing either one. I also do recombent bike, upper cardio machines, weights, leg press and dual pulley. I have fun and consider the time spent social as well as exercise- oriented. (To make exercise work, it also has to involve fun.) BTW, the gym is part of a JCC in and its name is “gym and fitness center.” I have gone for about 5 years and only took a “break” during (and briefly after) the PCI.
s/bay area, CA
Dr. V – I’m a 78 YO WF. 5 mos ago, I had 5 stents NSTEMI, on emergency basis (troponin I- 6.2 and rising, 5 cardiac markers. I won’t name the large teaching hospital but I had a fantastic IC. Two stents were LAD/D2, the rest in the areas of the RMA- (90,80,70 %). I was told later by another cardiogist that the IC kept me from having CABG which I also believe, having read “a ton” of medical lit. available on the web. (BTW, I would never permit CABG, as it would be too hard on me for any number of reasons.)
I read your website regularly (sort of), but find your sarcastic remarks surrounding the ORBITA trial a bit over the top, not that the cardiology profession doesn’t deserve sarcasm. I can only speak from my own experiences. However, I do agree that the value of stents in stable angina w/o other markers is questionable.
s/ SF Bay area, CA