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Dear Dr Mishra,
I read with interest your new guidelines on Chronic stable angina.1
I feel one or two things should be added the guidelines.
We have had numerous patients who survived after left main stenting and did not have repeat events. I would like to show the electrocardiograms and angiographic pictures of one such patient (Fig. 1, Fig. 2, Fig. 3, Fig. 4). She had chronic stable angina .She became unstable after 4 h after the angiogram and the stenting was done at ll pm and finished at 1 am (Fig. 5, Fig. 6). She survived and still comes for follow-up. She did not have adequate finances to send for emergency CABG.
Other wise the guideline is quite adequate.
S.D. Fihn , J.C. Blankenship , K.P. Alexander , et al. ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease Circulation 2014; 130: 1749-1767 . doi:10.1161/CIR.0000000000000095