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April 4, 2001

Outcomes of Angioplasty vs Thrombolysis by Hospital Angioplasty Volume

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor

JAMA. 2001;285(13):1701-1702. doi:10.1001/jama.285.13.1701

To the Editor: Dr Magid and colleagues1 concluded that patients treated at hospitals that performed more than 16 primary angioplasty procedures per year (93.5% of the procedures in the study) had lower in-hospital mortality rates with primary angioplasty than with thrombolytic therapy. Several other National Registry of Myocardial Infarction publications have also focused on primary angioplasty.25 The inverse relationship between procedure volume and in-hospital mortality in this registry has been previously noted,4,5 but the finding regarding superiority of primary angioplasty over thrombolytic therapy stands in contrast to previous publications where equivalence was demonstrated.2,3

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