When a culprit thrombus keep the myocardium as hostage . . . don’t storm the coronary artery indiscriminately !
When a single gun men keeps 100 innocent people as hostages , threatening their lives, rescue mission should start .No can can afford to wait. But, without knowing the culprit’s true nature the process of rescue mission is always going to be tricky .There are so many instances Newton’s third law was reversed , when reactions evoke more chaos than the index action.
In the recent world terrorist events , the rescue missions were so delicate and it was very unfortunate we lost many innocent hostages ! The reasoning is ,there is no way we can avoid these. I wonder is it really true ? !
Not all culprit lesions are true ones.They simply threaten our myocardium with thrombus and plaques in various forms .Don’t show aggression to pseudo threats you may ultimately end up with more damage.(What I call as crazy culprits!)
After thought
Iam sure ,bulk of the Interventionists wouldn’t agree with this thought . They would decry , watching a person silently when the myocardium is on fire is a serious crime !
But . . . we need to remember the process of extinguishing the fire with some more fire arms is a delicate game played in undefined philosophical turf.
The only way to introspect such events in life is , to accept any eventuality arising out of “not pursuing” a presumed rescue mission with vigor. No need to be guilty about that,after all , it can be a myth !
Modern human cognition , growing with a staple scientific feed on a 24/7 basis is unlikely to realise , restraint can be an effective tool even in critical moments !
Oh,is all that I have scribbled so far is just a repetition of 1000 year concept of “Primum non nocere”
Dr.S.Venkatesan MD 