Clinical problem-solving: Invasive interventions

Morton J. Kern, Richard Bach, Maria Luiza de Alencastro Kallfelz, Ramiro Caldas Degrazia, Iyad Rashdan, Deborah Tolchin, Basilio J. Anía, Miguel A. Cárdenes, Stephen G. Pauker, Richard I. Kopelman

Research output: Contribution to journalLetterpeer-review


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.  . .

Original languageEnglish
Pages (from-to)125-127
Number of pages3
JournalNew England Journal of Medicine
Issue number2
StatePublished - Jan 12 1995


Dive into the research topics of 'Clinical problem-solving: Invasive interventions'. Together they form a unique fingerprint.

Cite this