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'You Need a Stent' — Fuwai's Answer: Not Yet

Anonymized composite case · details changed for privacy · outcomes vary

Medically reviewed by ChinaMedPass Medical TeamUpdated Editorial policy

Short answer

Told after a positive stress test that a stent was next, the patient sent the angiogram to Fuwai Hospital for a written review. The verdict: moderate disease, medication first — guideline-backed, with clear criteria for when a stent would earn its place.

The situation

Stable chest tightness on exertion, a positive stress test, an angiogram showing a moderate lesion — and a swiftly scheduled stent at home. The patient wanted certainty the procedure was necessary.

What we did

The angiogram video and records went to a senior Fuwai Hospital interventional cardiologist for a written second opinion (from $400).

What came back

The lesion fell in the range where modern guidelines support optimal medication first for stable disease; the report set out the specific symptoms and test results that would justify revascularization later, plus a concrete drug regimen.

Outcome

Six months of medication and lifestyle change eliminated the symptoms; no stent as of latest follow-up. The patient kept the report as the benchmark for any future recommendation.

*This is an anonymized, composite case based on real coordination journeys; identifying details are changed or combined for privacy. Outcomes vary — nothing here is a promise of results.*

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