In a community-based study reported in this issue of the Journal,Every et al. compared the benefits of thrombolytic therapy withthose of primary coronary angioplasty for acute myocardial infarction.Although earlier trials had suggested that primary angioplastymay be superior, Every et al. found the two approaches essentiallyequivalent. How should physicians choose between them?
We solicited two opposing opinions, along with rebuttals, whichwe present in the first of a new series of occasional piecescalled Clinical Debate. Lange and Hillis argue that thrombolytictherapy should be the initial therapy, whereas Grines favorscoronary angioplasty. Is there . . . [Full Text of this Article]
Address reprint requests to Dr. Lange at Rm. CS7.102, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75235-9047.
Address reprint requests to Dr. Grines at the Division of Cardiology, William Beaumont Hospital, 3601 W. 13 Mile Rd., Royal Oak, MI 48073-6769.
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Zijlstra, F., Hoorntje, J. C.A., de Boer, M.-J., Magalski, A., O'Keefe, J. H., Leff, B., Lange, R. A., Hillis, L. D., Grines, C. L.
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[Full Text]