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Previous Volume 345:294-296 July 26, 2001 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Hemingway et al. (March 1 issue)¹ conclude that, according to criteria set by an expert panel, coronary revascularization procedures are underused; patients who should have undergone a surgical intervention were incorrectly treated medically. But what is the basis for the criteria of the expert panel?

Current recommendations regarding surgery are derived largely from data from the 1970s and early 1980s,² which preceded the development of aggressive medical therapies both for the management of ischemia (e.g., nitrates and beta-blockers) and for the reduction of risk factors (especially cholesterol levels). Even the most recent study comparing surgical treatment with . . . [Full Text of this Article]

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