Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: In their study of primary percutaneous coronary intervention (PCI) vs thrombolysis, Dr Stenestrand and colleagues1 reported long-term outcomes among patients presenting with ST-segment elevation myocardial infarction (STEMI) in Sweden between 1999 and 2004.1 They documented divergent outcomes stratified by initial reperfusion strategy. We would like to offer a different interpretation of the data.
Rihal CS, Jaffe AS, Holmes DR, Ting HH, Gersh BJ, Bell MR. Percutaneous Coronary Intervention vs Thrombolysis for ST-Elevation Myocardial Infarction. JAMA. 2007;297(12):1313-1315. doi:10.1001/jama.297.12.1313-a