Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Dr Pfisterer and colleagues1 reported that 1 year after either invasive treatment
or optimized medical therapy, elderly patients with angina had similar symptoms,
quality of life, and risk of death or nonfatal myocardial infarction. In contrast
with their previous report of 6-month outcomes,2 the
authors now report that patients who underwent medical therapy had a higher
risk of later hospitalizations for uncontrolled symptoms. The end point of
hospitalization seems reasonable, even though other primary and secondary
prevention studies did not use it.3- 5 Although
this makes the trial less comparable with previous results, the authors did
not discuss these differences.
Nash DT. Outcomes of Medical vs Invasive Therapy for Elderly Patients With Angina—Reply. JAMA. 2003;289(21):2794. doi:10.1001/jama.289.21.2794-a