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Correspondence
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Volume 342:1447-1448 May 11, 2000 Number 19
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Coronary-Artery Stenting in Acute Myocardial Infarction

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 by Grines, C. L.
To the Editor: Grines et al. (Dec. 23 issue)1 found that the benefit of coronary stenting after myocardial infarction was attributable only to the marked decrease in the rate of revascularization at six months. However, the unblinded study design may have biased decisions about revascularization in a way that could have favored the stent group. Did the independent clinical-events committee assess the appropriateness of the revascularization procedures used? Were the patients who did not undergo revascularization assessed for potential underuse of these procedures? Before worrying about the ethics of withholding stents from patients with acute infarction, the investigators should first . . . [Full Text of this Article]

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