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Editor's Correspondence
May 14, 2007

Coronary Artery Disease in Primary Care

Arch Intern Med. 2007;167(9):970-971. doi:10.1001/archinte.167.9.970-c

We read with interest the article published by Sequist et al1 regarding missed opportunities for diagnosing acute myocardial infarction in outpatient settings. This assessment can be difficult, even with increased suspicion, and the tools used by the authors should be adopted in primary care settings. One future enhancement of their study could be the review of atypical of signs and symptoms (eg, nausea or presyncope) of acute coronary syndrome that are frequently seen in women and elderly patients.2

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