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Correspondence
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Volume 341:2095-2096 December 30, 1999 Number 27
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Revascularization for Cardiogenic Shock

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 by Hochman, J. S.
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To the Editor: Hochman et al. (Aug. 26 issue)1 reported the results of a randomized clinical trial in which they compared early revascularization with medical management in patients who had cardiogenic shock after an acute myocardial infarction. They did not find a statistically significant difference in mortality between the groups at 30 days. Mortality at six months, however, was significantly lower in the revascularization group.

A survival advantage at 30 days would have implied salvage of ischemic myocardium by revascularization that led to early improvement in left ventricular pump function. In this study, the authors' failure to show improvement in . . . [Full Text of this Article]

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