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Correspondence
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Volume 337:1321-1322 October 30, 1997 Number 18
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Immediate Coronary Angiography in Survivors of Out-of-Hospital Cardiac Arrest

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 by Spaulding, C. M.
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To the Editor: Spaulding and colleagues (June 5 issue)1 present important information regarding coronary morphology and outcome after angioplasty in survivors of out-of-hospital cardiac arrest. They found coronary occlusions in 48 percent of their patients and consider this to be supportive evidence of the role of acute coronary thrombosis in sudden death. The authors further report that only 42 percent of their patients had ST-segment elevation on admission. Finally, the authors' analysis suggests that immediate angioplasty is associated with an improved outcome.

A number of methodologic issues merit consideration. First, no information is given on the neurologic status of the . . . [Full Text of this Article]

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