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
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ROGERS WR, WYSHAM DN. Unstable Angina. Ann Intern Med. 1984;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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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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