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March 28, 2007

Percutaneous Coronary Intervention vs Thrombolysis for ST-Elevation Myocardial Infarction

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2007;297(12):1313-1315. doi:10.1001/jama.297.12.1313-b

To the Editor: Dr Stenestrand and colleagues1 reported that in the Registry of Information and Knowledge about Swedish Heart Intensive Care Admissions (RIKS-HIA), PCI compared with thrombolytic therapy was independently associated with lower short-term and long-term mortality rates in patients with STEMI. We agree that registry data from unselected patient populations provide valuable insights into management patterns and treatment effectiveness in the “real world.” However, several issues deserve further comment.