Even Small Amounts Of Plaque In The Heart Vessels Increases Risk Of Heart Attack And Death

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360514

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B-ROLL Still pic of severe plaque in coronary artery THIS IS SOMETHING NO ONE WANTS TO SEE: BLOCKAGE OF BLOOD VESSELS IN THE HEART. SOT/FULL Thomas M. Maddox, M.D., M.Sc., - Denver VA Medical Center Super@:06 Runs:11 (Video covering middle of bite: angiogram of coronary arteries) “If somebody’s having chest pain it generally means that they have a plaque that is blocking more than 70 percent of the coronary artery. So we call that obstructive coronary disease.” B-ROLL Still pic of heart with less severe plaque WHEN PATIENTS HAVE SMALLER AMOUNTS OF PLAQUE, THEY ARE DIAGNOSED WITH WHAT IS KNOWN AS NON-OBSTRUCTIVE CORONARY DISEASE. SOT/FULL Thomas M. Maddox, M.D., M.Sc., - Denver VA Medical Center Super@:22 Runs:08 “We were concerned that perhaps those non-obstructive plaques did have a risk for causing a heart attack down the road.” B-ROLL Dr. Maddox walking down hospital hallway, walking into cath lab and sitting at computer, cu of computerscreen, doctors performing angiogram, cu of computer screen showing blood vessels DR. THOMAS MADDOX FROM THE DENVER V-A MEDICAL CENTER AND CO-AUTHORS EXAMINED ANGIOGRAMS OF MORE THAN 37 THOUSAND U-S VETERANS, OVER A THREE YEAR PERIOD.THIS PROCEDURE CAN DETECT OBSTRUCTION IN THE CORONARY ARTERIES. THE RESEARCHERS WANTED TO SEE WHETHER PATIENTS WITH SMALLER BLOCKAGES HAD HEART ATTACKS OR DIED IN THE YEAR FOLLOWING THEIR ANGIOGRAM. SOT/FULL Thomas M. Maddox, M.D., M.Sc., - Denver VA Medical Center Super@:48 Runs:09 (Video covering end of bite: heart monitor) “Patients with non-obstructive disease had a two to five time higher risk of heart attack and death. We haven’t been able to see that relationship before.” GXF FULL JAMA COVER THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION. SOT/FULL Thomas M. Maddox, M.D., M.Sc., - Denver VA Medical Center Super@1:01 Runs:12 (Video covering middle of bite: pan of angiogram on computer screen) “All of these patients regardless of whether or not they had non-obstructive or obstructive coronary disease had a higher risk for heart attack and death over that following year compared to patients who didn’t have any coronary disease at all.” B-ROLL Low angle shot of Dr. Maddox looking at computer, wide shot of cath lab DR. MADDOX SAYS IT MIGHT BE TIME TO THINK DIFFERENTLY ABOUT HOW WE CATEGORIZE CORONARY ARTERY DISEASE. SOT/FULL Thomas M. Maddox, M.D., M.Sc., - Denver VA Medical Center Super@1:20 Runs:09 “Rather than simply thinking about obstructive and non-obstructive we should probably be thinking about any coronary artery disease versus no coronary artery disease.” B-ROLL Push in to angiogram on computer screen CATHERINE DOLF, THE JAMA REPORT.
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