tag:blogger.com,1999:blog-18943510.post2811922612598419779..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: The RationerDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-18943510.post-45421959691946039212009-10-12T19:25:34.549-05:002009-10-12T19:25:34.549-05:00Generally, these patient's are best treated as...Generally, these patient's are best treated as outpatients after recovery. Moreover, guidelines indicate that their medical therapy should be optimized and treatment carried out for at least 3 (maybe 9) months before proceeding with device therapy.<br /><br />If they can keep all of the office followup and maintain compliance, then we may be in a position to talk about a device. If they Jayhttps://www.blogger.com/profile/10897176780069403370noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-39142740069873087312009-10-12T18:05:28.327-05:002009-10-12T18:05:28.327-05:00I wrestle with this too. The usual drug of choice...I wrestle with this too. The usual drug of choice here is meth. I fall back on the fact that non-ischemic CM guidelines indicate that the pt needs to be on optimal medical therapy. So the pt needs to demonstrate medication adherence and f/u in clinic before I refer them.<br />CardioNPAnonymousnoreply@blogger.com