Coronary heart disease treatment ‘sea change’ reported

According to the third set of guidelines produced by the British Cardiovascular Intervention Society and the British Cardiac Society, cardiologists undertaking percutaneous coronary intervention (PCI) are excited by the combination of patient and physician satisfaction and technological advance occurring against a background of necessary manual dexterity.

Progress and applicability of percutaneous techniques since their inception in 1977 have been significant. A sound evidence base coupled with the enthusiasm and ingenuity of the medical advice industry has resulted in a “sea change“ in the treatment of coronary heart disease. Such treatment continues to evolve extremely rapidly.

Following the last set of guidelines published in 2000, the authors have reported PCI activity in the UK increasing by 87%, such that the PCI to coronary artery bypass grafting ratio has increased to 2.5:1.

The impact of drug eluting stents has been profound, and the Department of Health is investigating the feasibility of primary PCI for acute myocardial infarction.  

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