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Warning over heart patients denied most appropriate treatment

Thousands of patients with heart disease may be denied the best chance of survival because of uncertainty over the most suitable treatment option, warns a cardiac surgeon in this week's BMJ.Coronary artery disease occurs when artery walls become thickened by fatty deposits, leading to an inadequate blood supply to the heart. A procedure called 'revascularisation' improves blood flow and reduces the risk of death. There are two ways this can be done -- by stenting or bypass surgery.

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