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Volume 337:1008-1009 October 2, 1997 Number 14
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Use of Cardiac Procedures in the United States and Canada

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 by Tu, J. V.
To the Editor: The study of acute myocardial infarction by Tu et al. (May 22 issue)1 presents a contrast between two nations, in which the rate of revascularization in the United States is five times that in Canada. The study suggests that the enormous effort to relieve ischemia in the United States produces no survival benefit after one year of follow-up. That conclusion invites providers to deny patients access to revascularization in the interest of trimming costs. Do the study methods warrant a conclusion that the United States could safely emulate Canada, reducing revascularization by 80 percent?

Tu et al. . . . [Full Text of this Article]

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