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Editorial
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Volume 359:751-753 August 14, 2008 Number 7
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Finding the Courage to Reconsider Medical Therapy for Stable Angina
Eric D. Peterson, M.D., M.P.H., and John S. Rumsfeld, M.D., Ph.D.

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 by Weintraub, W. S.
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Twenty-five years ago, care for patients with symptomatic coronary artery disease centered on the selection and titration of antianginal medications. Percutaneous coronary intervention (PCI), which was limited at that time to balloon angioplasty, was an alternative. However, the risks associated with the procedure and the rate of restenosis largely relegated it to second-line therapy for patients who did not have a response to best medical therapy. Fast-forward to the present. Coronary stents have revolutionized PCI and have reduced the rate of complications and the need for repeat interventions. This advance has markedly altered clinicians' thresholds for considering PCI. Now, the . . . [Full Text of this Article]


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From the Duke Clinical Research Institute, Duke University Medical Center, Durham, NC (E.D.P.); and the Denver Veterans Affairs Medical Center and University of Colorado Denver Health Sciences Center, Denver (J.S.R.).


Related Letters:

Quality of Life with PCI versus Medical Therapy in Stable Coronary Disease
Beltrame J. F., Tavella R., Cutri N., Rodriguez A. E., Maree A. O., Palacios I. F., Reppel M., Radke P. W., Schunkert H., Kinlay S., Brown R. A., Teirstein P. S., Kandzari D. E., Smith J., Weintraub W. S., Kolm P., Boden W. E., Peterson E. D., Rumsfeld J. S.
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N Engl J Med 2008; 359:2289-2293, Nov 20, 2008. Correspondence

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