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Previous Volume 336:1103-1104 April 10, 1997 Number 15 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The report by Every et al. (Oct. 24 issue)¹ on the analysis of data from the Myocardial Infarction Triage and Intervention (MITI) registry underscores an important debate regarding the current standard of care for acute myocardial infarction. However, the conclusions require clarification. The authors claim that there is a savings of $3,000 per patient if thrombolysis is used instead of primary angioplasty. Unfortunately, only the inpatient costs were analyzed, instead of the total medical cost. Noninvasive outpatient evaluations (e.g., echocardiographic studies and stress tests) were not included. Outpatient assessment of ischemia is routine after thrombolysis in patients . . . [Full Text of this Article]

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