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Correspondence
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Volume 353:2714-2718 December 22, 2005 Number 25
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Management of Acute Coronary Syndromes

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 by Boden, W. E.
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 by de Winter, R. J.
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To the Editor: The Invasive versus Conservative Treatment in Unstable Coronary Syndromes (ICTUS) trial reported by de Winter et al. (Sept. 15 issue)1 shows that an early invasive strategy was not superior to a conservative strategy in patients who had acute coronary syndromes without ST-segment elevation and with an elevated cardiac troponin T level. However, we disagree with the authors' statement that they "studied a high-risk population," because such a conclusion is not supported by the data that they present (i.e., <50 percent of the patients were older than 65 years of age, <15 percent had diabetes, and <50 percent . . . [Full Text of this Article]




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