{"id":1489,"date":"2010-04-01T20:01:16","date_gmt":"2010-04-02T00:01:16","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/alcohol-or-the-knife\/"},"modified":"2011-07-19T17:44:17","modified_gmt":"2011-07-19T21:44:17","slug":"alcohol-or-the-knife","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2010\/04\/01\/alcohol-or-the-knife\/","title":{"rendered":"Alcohol or the Knife?"},"content":{"rendered":"<p>Your patient with symptomatic obstructive hypertrophic cardiomyopathy is faced with a choice and asks, \u201cIf it were you, would you have alcohol ablation or myectomy?\u201d<\/p>\n<p>Recent <a href=\"http:\/\/www.sciencedirect.com\/science?_ob=MImg&amp;_imagekey=B8JBN-4TRCWWJ-H-1&amp;_cdi=43563&amp;_user=108488&amp;_pii=S1936879808003427&amp;_orig=search&amp;_coverDate=10%2F31%2F2008&amp;_sk=999989994&amp;view=c&amp;wchp=dGLbVtz-zSkzS&amp;md5=17b970b212ae3d41d793b2d1ec447c8c&amp;ie=\/sdarticle.pdf\">U.S. studies <\/a>show that alcohol ablation is safe and effective (i.e., low complication rate, durable hemodynamic effects, and good long-term survival), whereas <a href=\"http:\/\/circheartfailure.ahajournals.org\/cgi\/rapidpdf\/CIRCHEARTFAILURE.109.862359v1.pdf\">European studies <\/a>suggest it is not (due to long-term adverse effects, such as life-threatening arrhythmias).\u00a0 <strong>How would you respond to your patient?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Your patient with symptomatic obstructive hypertrophic cardiomyopathy is faced with a choice and asks, \u201cIf it were you, would you have alcohol ablation or myectomy?\u201d Recent U.S. studies show that alcohol ablation is safe and effective (i.e., low complication rate, durable hemodynamic effects, and good long-term survival), whereas European studies suggest it is not (due [&hellip;]<\/p>\n","protected":false},"author":190,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,1,9],"tags":[],"class_list":["post-1489","post","type-post","status-publish","format-standard","hentry","category-cardiac-surgery","category-general","category-interventional-cardiology"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1489","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/190"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=1489"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1489\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=1489"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=1489"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=1489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}