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February 2, 2000

Primary Angioplasty vs Thrombolysis in Elderly Patients

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(5):601-602. doi:10.1001/jama.283.5.601

To the Editor: In their comparison of direct angioplasty and intravenous thrombolysis as reperfusion therapy for elderly patients with acute myocardial infarction, Dr Berger et al1 concluded that primary angioplasty is associated with modestly lower short- and long-term mortality. However, this conclusion is problematic because of the inherent limitations of data from the Cooperative Cardiovascular Project (CCP).

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