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Correspondence
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Volume 336:1024-1025 April 3, 1997 Number 14
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Use of Coronary Angiography and Revascularization after Acute Myocardial Infarction

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 by Pilote, L.
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To the Editor: In their interesting analysis of the use of angiography and coronary revascularization in the first Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries trial (GUSTO-1), Pilote et al. (Oct. 17 issue)1 conclude that there is an excessive use of arteriography and revascularization after myocardial infarction in U.S. patients, many of whom do not clearly require such procedures, as well as an inappropriately low use of these procedures in higher-risk patients who are most likely to benefit from selective revascularization. These data will not surprise any sophisticated physician.

Not fully emphasized in the discussion . . . [Full Text of this Article]

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