Harris A. Lappin, MD
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To the Editors: Dr. Collen's article (1) was very thought-provoking and, at the same time, distressing. At issue is not whether the actual recanalization rates, as quoted by Dr. Collen, are correct, but rather whether we should use less efficient care to save money. I am in private practice in cardiology and am very cognizant of the cost of every therapy provided for my patients; I am equally aware that my obligation is to do my best for my patients. In that regard, how could I prescribe therapy with a drug that is less efficient in opening an obstructed coronary
Lappin HA. Coronary Thrombolysis. Ann Intern Med. ;113:171. doi: 10.7326/0003-4819-113-2-171
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Published: Ann Intern Med. 1990;113(2):171.
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