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Correspondence
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Volume 330:289-290 January 27, 1994 Number 4
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On-Site Cardiac Catheterization Facilities and the Use of Coronary Angiography after Myocardial Infarction

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 by Every, N. R.
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To the Editor: Every et al. (Aug. 19 issue)1 are to be complimented on their article on the association between the availability of cardiac catheterization facilities and the use of coronary angiography and in-hospital mortality among patients admitted with myocardial infarction. Although they rightly identified several limitations of their study and tried to control for a number of sources of bias, incomplete information may be a more serious problem.

In-hospital mortality is not the only end point that leads most physicians to perform angiography in the post-infarction period2,3. To rely on this end point as the linchpin of evaluation . . . [Full Text of this Article]

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