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Volume 343:1045 October 5, 2000 Number 14
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The Volume of Primary Angioplasty Procedures and Survival after Acute Myocardial Infarction

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 by Canto, J. G.
To the Editor: In their study of patients with acute myocardial infarction that was treated with either thrombolytic therapy or primary angioplasty, Canto et al. (May 25 issue)1 found that in hospitals with angioplasty facilities, a higher volume of primary angioplasty procedures was associated with a lower mortality rate. They found no association between volume and mortality for thrombolytic therapy.

The 1999 recommendations of the American College of Cardiology and the American Heart Association2 regarding the treatment of acute myocardial infarction suggested that primary angioplasty should be performed only by experienced interventional cardiologists in a timely fashion. The statement relied . . . [Full Text of this Article]

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