TY - JOUR
T1 - Clinical problem-solving
T2 - Invasive interventions
AU - Kern, Morton J.
AU - Bach, Richard
AU - Kallfelz, Maria Luiza de Alencastro
AU - Degrazia, Ramiro Caldas
AU - Rashdan, Iyad
AU - Tolchin, Deborah
AU - Anía, Basilio J.
AU - Cárdenes, Miguel A.
AU - Pauker, Stephen G.
AU - Kopelman, Richard I.
PY - 1995/1/12
Y1 - 1995/1/12
N2 - To the Editor: With respect to the Clinical Problem-Solving article describing a young man requiring coronary angioplasty (Sept. 1 issue),1 we wish to take issue with the discussant's statement that “it is difficult to find much fault with either the diagnostic or the therapeutic approach.” Despite a risk-stratification evaluation (involving normal results on a maximal stress test and a normal perfusion scan) that indicated his very low risk after an uncomplicated myocardial infarction, the patient underwent “obligatory” angioplasty for stenosis of the proximal left anterior descending coronary artery. The physicians made only one objective measurement of the post-stenotic coronary blood. . .
AB - To the Editor: With respect to the Clinical Problem-Solving article describing a young man requiring coronary angioplasty (Sept. 1 issue),1 we wish to take issue with the discussant's statement that “it is difficult to find much fault with either the diagnostic or the therapeutic approach.” Despite a risk-stratification evaluation (involving normal results on a maximal stress test and a normal perfusion scan) that indicated his very low risk after an uncomplicated myocardial infarction, the patient underwent “obligatory” angioplasty for stenosis of the proximal left anterior descending coronary artery. The physicians made only one objective measurement of the post-stenotic coronary blood. . .
UR - http://www.scopus.com/inward/record.url?scp=0029642323&partnerID=8YFLogxK
U2 - 10.1056/NEJM199501123320213
DO - 10.1056/NEJM199501123320213
M3 - Letter
C2 - 7990894
SN - 0028-4793
VL - 332
SP - 125
EP - 127
JO - New England Journal of Medicine
JF - New England Journal of Medicine
IS - 2
ER -