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Editor's Correspondence
August 10, 2009

Is Concentration on More Intensive Treatment for Younger Patients More Rational and Humane Than Ignorant?

Arch Intern Med. 2009;169(15):1442. doi:10.1001/archinternmed.2009.241

The article by Yan et al1 has shown that physicians have seriously underestimated the impact of patient age and chronic comorbidities on the prognosis of patients presenting with acute coronary syndromes (ACSs). Indeed, up to a point, the age of the patient, rather than the severity of the acute illness, is the major determinant of outcomes from ACS. I suggest that the concentration on more intensive treatment for younger patients may be more appropriate than ignorant.