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Correspondence
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Volume 332:469-472 February 16, 1995 Number 7
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Quality of Life after Myocardial Infarction: Canada versus the United States

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 by Mark, D. B.
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To the Editor: . . . In the study by Mark et al. (Oct. 27 issue),1 I am struck by the large difference between Canada and the United States in the use of invasive diagnostic and therapeutic procedures in patients with acute myocardial infarction, despite small differences, if any, in survival or quality of life. The rate of angiography was almost 200 percent higher among U.S. patients during hospitalization for acute infarction (72 percent vs. 25 percent), and the rate of percutaneous transluminal coronary angioplasty or coronary-artery bypass surgery at one year was over 100 percent higher among the U.S. . . . [Full Text of this Article]

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