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Volume 356:1475-1479 April 5, 2007 Number 14
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Door-to-Balloon Time in Acute Myocardial Infarction

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 by Moscucci, M.
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 by Bradley, E. H.
To the Editor: Bradley et al. (Nov. 30 issue)1 have analyzed strategies to reduce the interval between arrival at the hospital and intracoronary balloon inflation (door-to-balloon time) in primary angioplasty in a large multicenter series. However, use of the median in this and other analyses has limitations. Reperfusion-time distributions are skewed, with a tail to the right representing patients who have a long wait. Such patients may have significantly detrimental effects,2 alluded to in the accompanying editorial by Moscucci and Eagle,3 as compared with those who undergo timely thrombolysis.4 Neither the length of the delay nor the number of patients . . . [Full Text of this Article]




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