eLetters

174 e-Letters

published between 2001 and 2004

  • Redefinition of myocardial infarction
    David Hildick-Smith
    Dear Editor,

    The Guideline for the management of patients with acute coronary syndromes without persistent ECG ST segment elevation[1] gives excellent and timely advice, but there is one area which continues to cause confusion, and that concerns the diagnosis of "myocardial infarction".

    The International Redefinition of Myocardial Infarction[2] states that an infarct has occurred when there has been a typical rise...

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  • Redefinition of myocardial infarction - Authors' response
    David Hackett
    Dear Editor,

    Thank you for sending us the letter from Hildick-Smith and Glennon and inviting a response. The Guideline for the management of patients with acute coronary syndromes without persistent ECG ST segment elevation (Heart 2001;85:133-142) was based on the deliberations of a working party which met in October 1999, and on a review of the literature up to December 1999. The paper referred to by Hildick-Smith a...

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  • Re: Cost-effective investigation of chest pain - Authors' response
    IA Simpson

    Dear Editor,

    We thank Underwood for his kind comment about our study[1] which demonstrated an absence of gender bias in the investigation and management of patients referred to our open access chest pain clinic. We can reassure him that this study relied on routinely collected data and clinical staff were not aware that they would be under scrutiny with regard to gender bias. Also, primary physicians had guide...

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  • Cost-effective investigation of chest pain
    SR Underwood
    Dear Editor,

    Wong and colleagues very nicely demonstrate the absence of gender bias in investigation and management of 1522 patients referred by primary care physicians to an open access chest pain clinic.[1] This is very reassuring but their results raise an important issue concerning the strategies of investigation used in their clinic. To summarise their data:

    Table: Investigations in Southampton...

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