are talking about linking use of the appropriateness guidelines to hospitals and doctors being paid for a procedure, a financial incentive he said should probably be considered at some point here, too. Ko, an interventional cardiologist at Toronto’s Sunnybrook Schulich Heart Centre, said some funding bodies in the U.S.

We need to improve on when to do these kind of proceduresĭr. This advertisement has not loaded yet, but your article continues below.

Or they can be given procedures such as a bypass - open-heart surgery where a blocked artery is replaced with a vessel taken from elsewhere in the body - and angioplasty, which uses minimally invasive techniques to inflate a tiny balloon or insert a vessel-stretching stent in the vessel. Such patients can be treated medically, with drugs and possibly lifestyle changes. The study, just published in the Journal of the American College of Cardiology, looked at more than 1,600 Ontario patients with stable coronary-artery disease, meaning those who have not suffered a heart attack and are not experiencing “unstable” angina. The bottom line is that in stable coronary disease, do not prolong life While the per-capita rate of bypass operations has been falling, the rate at which doctors performed angioplasties, considered safer and less costly, doubled during the 2000s, according to the Canadian Institute for Health Information. The prevalence of coronary disease has been declining steadily in Canada in recent decades, but it is still among the country’s leading causes of death, and treatment of the problem costs the health-care system billions annually.

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