The idea that heart disease is the most common
cause of death gets misinterpreted to mean that any and all heart
condition is an imminent danger to life and needs to be
aggressively tested and treated.
In the absence of good, trustworthy
information, patients are guided mostly by their gut reaction and
instincts when they are diagnosed with heart disease. With the
misperception that more is better, they all too often end up
relying on the test and treatment recommendations of their harried
healthcare provider, who could well be influenced by accepted
norms, cognitive biases, legal concerns, or economic
considerations, whether consciously or not. Such decisions and
recommendations lead to the gross overuse of cardiac
procedures, even when the risks of test and treatment can be worse
than the disease itself.
Dr. Jignesh Shah explores the various tests and treatments available to cardiac patients and reveals those that are most helpful, those that are likely unnecessary, and those that should be pursued only in certain circumstances. Using real life stories, he helps readers to cultivate a better understanding of heart disease and guides them to make better decisions for their care based on their own needs and medical situations. He helps to correct the misconceptions that have guided and misguided patients for years.
Introduction: Why Do I Need This Book?
1. Stress Test: What’s Good for the Goose Good for the Gander?
2. Cardiac Catheterization: That’s Our Protocol
3. Angioplasty: It’s Not Killing You!
4. Bypass Surgery: A Second Opinion
5. Supplements, the Internet, and Heart Monitors: The Customer Has the Controls
6. Pacemakers: A Surefire Spark?
7. Defibrillator: Many Get It, Some Need It
8. Ablation: Curing Your Rhythm Problems
9. The Way Forward: The Home-Care Solution to Health Care
About the Author
“Heart disease and stroke are the leading causes of death and disability in the world. Many people, naturally, want to reduce their risk for them or receive the best possible treatment. Unfortunately, the diagnosis and treatment of CV disease has become an enormous business, and more often than most people know the drug and device companies, the hospitals, and the doctors who treat them may be motivated, consciously or not, as much by their own bottom line as by their patients’ interests. Dr. Jignesh Shah’s book provides readers with important and unbiased information that people can use to navigate the treacherous waters of the healthcare system."
J Shah is a board-certified cardiologist and a trained epidemiologist. He was trained at Harvard Medical School and has practiced in various countries and diverse settings over the past 20 years. He is passionate about patient experience of healthcare and hopes to bring human elements back to medicine. When he is not seeing patients, he is writing, traveling or hiking. He lives in Boulder, Colorado.