{"id":3081,"date":"2010-09-08T13:54:45","date_gmt":"2010-09-08T17:54:45","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?p=3081"},"modified":"2011-07-19T17:44:16","modified_gmt":"2011-07-19T21:44:16","slug":"%e2%80%9ccath-lab-we-have-a-problem%e2%80%9d","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2010\/09\/08\/%e2%80%9ccath-lab-we-have-a-problem%e2%80%9d\/","title":{"rendered":"\u201cCath Lab, We Have A Problem\u201d?"},"content":{"rendered":"<p>According to a <a href=\"http:\/\/www.annals.org\/content\/153\/5\/307.abstract?aimhp\">recently published study<\/a>, a <strong><em>huge disconnect<\/em><\/strong> <span style=\"color: #000000;\">apparently exists between patients\u2019 and cardiologists\u2019 beliefs about the benefits of PCI.\u00a0The patients had been referred for coronary angiography and possible PCI, had discussed PCI with a physician, and had provided informed consent. Most patients (~88%) believed that PCI would reduce their risks\u00a0of MI, whereas most cardiologists (83%)\u00a0reported believing that the benefits of PCI are largely limited\u00a0to symptom relief. Yet,\u00a083% of patients reported that their questions were answered, and nearly all (96%) reported that they knew why they were having the procedure.<\/span><\/p>\n<p><strong><em><span style=\"color: #000000;\"> Is it ethical to perform a procedure (e.g., PCI) to allay a patient\u2019s fear of an impending catastrophic event when you don\u2019t believe the procedure reduces the risk of that event<\/span>?<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>According to a recently published study, a huge disconnect apparently exists between patients\u2019 and cardiologists\u2019 beliefs about the benefits of PCI.\u00a0The patients had been referred for coronary angiography and possible PCI, had discussed PCI with a physician, and had provided informed consent. Most patients (~88%) believed that PCI would reduce their risks\u00a0of MI, whereas most [&hellip;]<\/p>\n","protected":false},"author":214,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,9],"tags":[371,372,245,301,373],"class_list":["post-3081","post","type-post","status-publish","format-standard","hentry","category-general","category-interventional-cardiology","tag-courage","tag-elective-pci","tag-mi","tag-pci","tag-stable-angina"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/3081","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\/214"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=3081"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/3081\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=3081"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=3081"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=3081"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}