particularly bizarre editorial this...
"We know ACEIs work" ( better than ca antags in diabetics who are a very
high risk group)
BUT "they might be dangerous" ( although we can't prove it)
SO "maybe do this fancy test in certain patients" - like diabetics,
hypertensives over 50, IHD, periph art. dis. (who else do you give ACEIs to
anyway?) "just in case".
Nope, business as usual...
At least Gerry Fowkes & Co on checking ABPI as a risk factor for MI a couple
of weeks ago were honest enough to say there's good epidemiological evidence
"so here's the editorial about the trial we're just starting: you read it
here first"
Chris
Chris Burton
GP; Sanquhar Dumfriesshire
-----Original Message-----
From: [log in to unmask]
[mailto:[log in to unmask]]On Behalf Of Graham Balin
Sent: 29 June 1998 19:35
To: [log in to unmask]
Subject: Re: BMJ editorial on starting ACEI's
Quote"Renal angiography remains the gold standard for diagnosis, but
renal duplex scanning offers a rapid, non-invasive test for screening
for critical renal artery stenosis before starting treatment."
Does anyone do this? *Can* anyone do this in these days of overspends
and cuts? If we do not get it done, are we going to be held negligent?
Cheerio,
Graham
'Good health is merely the slowest possible rate at
which one can die.'
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