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The authors’ reply:
  1. D Brieger1,
  2. G FitzGerald2,
  3. K A A Fox3,
  4. K A Eagle4,
  5. A Budaj5,
  6. Á Avezum6,
  7. B Costa1,
  8. C B Granger7,
  9. F A Anderson2,
  10. Ph G Steg8
  1. 1
    Coronary Care Unit, Concord Hospital, Concord, Australia
  2. 2
    Center for Outcomes Research, University of Massachusetts Medical School, Worcester, USA
  3. 3
    Cardiovascular Research, Division of Medical and Radiological Sciences, The University of Edinburgh, Edinburgh, Scotland, UK
  4. 4
    University of Michigan Health System, Ann Arbor, Michigan, USA
  5. 5
    Postgraduate Medical School, Department of Cardiology, Grochowski Hospital, Warsaw, Poland
  6. 6
    Dante Pazzanese Institute of Cardiology, São Paulo, Brazil
  7. 7
    Duke University Medical Center, Durham, North Carolina, USA
  8. 8
    Département de Cardiologie, INSERM U-698, Université Paris 7, AP-HP, Paris, France
  1. Dr D Brieger, Department of Cardiology, Concord Hospital, Hospital Rd, Concord Sydney, Australia 2139; davidb{at}

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These authors have highlighted one of the attractions of our score: that it derives from clinical and biochemical parameters available soon after admission. We developed our score in patients with a discharge diagnosis of either unstable angina or non-Q-wave myocardial infarction primarily because we wished to provide a tool of unambiguous clinical applicability. Patients presenting with ST elevation are at high risk of a short-term event and were not …

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