Do Stents Help? (pt 1) Stable Coronary Disease and MI – FORD BREWER MD MPH

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Stents are very frequent. We all know many people who have had stents. In general, the reason the patient understands is: "I had a ___% blockage in my heart artery."

There have been multiple studies that show that many (perhaps most) of the stents do not help. The most recent was the ORBITA study, published on LANCET in January 2018.

The ORBITA trial was a randomized comparison of lifestyle-eluting stents and 200-person drug therapy. They even did a simulated procedure. This is how it worked. The 200 patients were admitted and prepared for the stent procedure. Then, all 200 had no idea if they really had a stent in place or not.

The result? There was no difference in the treadmill exercise test. The stents did not help.

To see the conversations about the prevalence of stenting, see Angioplasty.Org. It's disturbing, especially when you take into account the fact that so many stents do not help patients.

About Dr. Brewer: Dr. Brewer started as an Emergency Physician. After seeing too many patients who died from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on to execute the postgraduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career in practice and administration of preventive medicine and primary care clinics. His last role in this area was that of Medical Director of Premise, which has more than 500 primary care / prevention clinics. He was also the medical director of MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a clinic for the prevention of heart attacks, strokes and diabetes.
At PrevMed, we focus on heart attack, stroke, disability, cancer and Alzheimer's prevention. We found a large amount of type 2 diabetes not diagnosed. The treatment of unrecognized risk factors such as diabetes allows risk reduction. We provide genetic tests, images, laboratories and telemedicine options of the latest generation. We serve patients who have already experienced an event and those who have not developed a diagnosis or event. Our team of senior doctors includes internationally recognized leaders in the research and treatment of cardiovascular diseases, preventive medicine and well-being. We also provide preventive medicine through telemedicine technology in more than 30 states. Contact Dr. Brewer at or visit

Video credits to Ford Brewer YouTube channel

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    Do Stents Help? (pt 1) Stable Coronary Disease and MI – FORD BREWER MD MPH

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