Interventional Cardiologist & Diabetologist · Oxford Hospital, Jalandhar, Punjab, India
Dr. Gurbir Singh Gill
Formerly Dr. Gurbeer Singh Gill
A stent is a tool, not a verdict.
In stable coronary disease, seven randomised trials across more than 11,923 patients have tested whether opening a narrowed artery prevents death and heart attack. This practice treats to that evidence — and intervenes without hesitation when the evidence says intervention saves lives.
50,000+
Patients treated without stents
7
Randomised trials the protocol is built on
11,923
Patients enrolled across those trials
Most patients arrive holding a number
Seventy per cent. Eighty. It sounds like a sentence, and the expected next sentence is that a stent goes in today.
That number describes how a narrowing looks. It does not say whether the narrowing restricts blood flow, whether it explains your symptoms, or whether opening it will help you live longer. Those are three separate questions, and the published evidence answers them differently.
How the decision is actually made →- COURAGENEJM 2007 · n = 2,287
Over a median 4.6 years, adding PCI to optimal medical therapy did not reduce death or myocardial infarction compared with optimal medical therapy alone.
- BARI 2DNEJM 2009 · n = 2,368
Five-year survival and freedom from major cardiovascular events did not differ between prompt revascularisation and intensive medical therapy alone.
- FAME 2NEJM 2012 · n = 888
Among lesions that were physiologically significant on fractional flow reserve, PCI reduced the need for urgent revascularisation, without a reduction in death or myocardial infarction.
- ORBITALancet 2018 · n = 200
Against a placebo procedure, PCI did not produce a statistically significant increase in exercise time in patients on antianginal medication.
- All seven trials, with citations →
Areas of expertise
View all →condition
Coronary Artery Disease
Assessment and treatment of coronary blockages — including when medical therapy is the better-evidenced option and when a stent is genuinely required.
condition
Preventive Cardiology
Risk assessment, lipid management and lifestyle intervention to prevent a first or recurrent cardiac event — with particular attention to South Asian risk.
condition
Heart Failure
Diagnosis and long-term management of heart failure with reduced and preserved ejection fraction, using guideline-directed medical therapy.
procedure
Primary Angioplasty
Emergency angioplasty during a heart attack, where restoring blood flow quickly is the single treatment most strongly proven to save lives.
procedure
Echocardiography
Transthoracic and transesophageal echocardiography to assess pumping function, valves, chamber sizes and congenital defects.
procedure
Holter & Ambulatory Monitoring
Continuous ECG and 24-hour blood pressure monitoring to capture rhythm disturbances and blood pressure patterns that clinic tests miss.
In patients’ words
Excerpts from public Google reviews. Read all reviews on Google →
“…he never promoted the intervention. Always insisted my grandfather make lifestyle changes.”
Vikas Kamboj“…the first one who did not recommend stenting.”
Nikhil Aggarwal