WAYNE R. ROGERS, M.D.; DONALD N. WYSHAM, M.D.
To the editor: Oliva(l), in reviewing the mechanisms of unstable rest angina with ST-segment depressions, concludes that surgery may be reserved for "persistent ischemia despite intensive medical therapy." Such a medical regimen often takes several days and has been associated with a myocardial infarction rate of approximately 10% and a death rate of 3% during the initial hospitalization. Most patients continue to be troubled by angina and many have surgery within a few weeks.
Coronary arteriography and bypass surgery are now standard procedures with less risk and consistent relief of symptoms. When clinically appropriate within the first day or two
ROGERS WR, WYSHAM DN. Unstable Angina. Ann Intern Med. ;101:281–282. doi: 10.7326/0003-4819-101-2-281_2
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Published: Ann Intern Med. 1984;101(2):281-282.
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