Celebrities with heart disease provoke heated debate among cardiologists as well as the general public, as shown by the interest in Bill Clinton's recent stent implantation. Drs Topol and Teirstein examine this case and Dick Cheney's history of heart disease and review some enlightening comments posted to the online forum on theheart.org. Join this discussion for a review of Clinton's angiograms from 2004, glucose tolerance testing, secondary prevention, pomegranate juice, personal butchers, and hybrid procedures.

Celebrities with heart disease provoke heated debate among cardiologists as well as the general public, as shown by the interest in Bill Clinton's recent stent implantation. Drs Topol and Teirstein examine this case and Dick Cheney's history of heart disease and review some enlightening comments posted to the online forum on theheart.org. Join this discussion for a review of Clinton's angiograms from 2004, glucose tolerance testing, secondary prevention, pomegranate juice, personal butchers, and hybrid procedures.

In this episode Drs Topol and Teirstein examine the merits of elective coronary angiography: A test that adds little diagnostic value? Or a diagnostic tool that has its place if used judiciously? They mull over the statistical analysis in Patel et al's recent paper, discuss when elective angiography may be the correct line of action, consider why detractors have been accused of broadsiding PCI, and reflect on the insight of Teirstein's mother following her recent angiogram.

See:

Patel MR, Peterson ED, Dai D, et al. Low diagnostic yield of elective coronary angiography. N Engl J Med. 2010 Mar 11;362(10):886-95.

Noninvasive testing adds little to risk-factor screening for predicting obstructive CAD

[Clinical Conditions > Imaging]; Mar 10, 2010. Accessed at

http://www.theheart.org/article/1054105.do