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Since the introduction of coronary care units, the diagnosis and management of myocardial infarction have changed considerably. The introduction of the Swan-Ganz catheter has made possible the characterization of various subsets of high- and low-risk patients, and a more rapid diagnosis of myocardial infarction is now possible with creatine kinase (CK) isoenzymes. Appreciation of factors that may influence infarct size has also given rise to a slightly different rationale in formulating medical therapy. Recently, the use of mini-dose subcutaneous heparin versus full anticoagulation has been introduced. However, these changes continue to be ignored in recent textbooks in cardiology, and consequently
Manual of Coronary Care.. Ann Intern Med. 1977;87:385. doi: https://doi.org/10.7326/0003-4819-87-3-385_1
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Published: Ann Intern Med. 1977;87(3):385.
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