eLetters

200 e-Letters

published between 2007 and 2010

  • Role of Myocardial Perfusion Imaging in Spontaneous Coronary Artery Dissection
    Arunkumar Panneerselvam

    To the Editor: I read with interest, the article by Christian J M Vrints (1) on spontaneous coronary artery dissection (SCAD). The images from current imaging modalities are impressive. The author has given an useful and practical approach to managing patients with SCAD.

    The author has recommended medical therapy for asymptomatic patients with SCAD, followed by computed tomogram on follow up. Myocardial perfu...

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  • Gender and Myocardial Infarctions
    Marina B Guerra

    Our ischaemic cardiopathy study group have read with interest the article written by Lawesson et al (1). First of all, the occurrence of ST-elevation myocardial infarction in young women is rare and the tobacco nocive role is well established in the medical literature. However, we would like to emphasize that smoking in women is growing nowadays. According to World Health Organization, there are 1,2 billion smokers around...

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  • Comments on a acute myocardial infarction study
    William C Tormen

    We have read with interest the article written by Bramlage et al (1) and we want to congratulate the authors and manifest our agreement with the findings of lower mortality in patients receiving optimal medical therapy (OMT) with statins, aspirin, clopidogrel, b-blockers, rennin angiotensin system blockers/ angiotensin-receptor blockers. However, we think appropriate to mention that patients who received OMT probably nee...

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  • is it reasonable to separate the culprit-vessel only revascularization as a group from the culprit-vessel revascularization?
    Yu Cheng Chen

    We read with interest the work "A randomised trial of target-vessel versus multi-vessel revascularisation in ST-elevation myocardial infarction: major adverse cardiac events during long-term follow-up"by Luigi Politi. According to the conclusion of the article, culprit vessel- only angioplasty was associated with the highest rate of long-term MACE compared with multivessel treatment including simultaneous revascularizati...

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  • On the cost-effectiveness of primary angioplasty
    Giovanni Melandri

    Sir, in their elegant evaluation of primary angioplasty vs thrombolysis cost-effectiveness, Wailoo and Coll. conclude that primary angioplasty-based care is highly likely to be costeffective, particularly if patients are admitted directly to the cardiac catheter laboratory 1. These conclusions will certainly trigger the opening of new catheterization laboratories across the UK and elsewhere as well. As a consequence, the...

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  • "Pill in the pocket" treatment for recent-onset atrial fibrillation
    Obiora Anusionwu

    Paolo Alboni et al concluded that the patient's tolerance of intravenous administration of flecainide or propafenone does not seem to predict adverse effects during out-of-hospital self administration of these drugs (1). However, it is important to note that the number of patients in the study were only 122 with a 5% incidence of major adverse effects. Patients without structural heart disease would benefit from propafeno...

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  • Gender and Myocardial Infarctions
    Marina B Guerra
    Our ischaemic cardiopathy study group have read with interest the article written by Lawesson et al (1). First of all, the occurrence of ST-elevation myocardial infarction in young women is rare and the tobacco nocive role is well established in the medical literature. However, we would like to emphasize that smoking in women is growing nowadays. According to World Health Organization, there are 1,2 billion smokers around the wo...
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  • To the Editor
    Jan-Henk E. Dambrink

    With great interest we have read the article by Politi et al(1) on revascularisation of patients with ST-elevation myocardial infarction and multivessel disease. The authors are to be complimented with the largest randomised trial on this subject, with the longest follow-up.

    However, we question whether this study is the 'justification for complete revascularisation at the time of primary angioplasty', as the p...

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  • Endothelial Dysfunction and Necrotic Core Plaques
    Scott W Murray

    To the editor: I would like to thank Dr Lerman for his reply to our measurement question [1]. I am acutely aware of Dr Lerman's fantastic research pedigree and the excellent ground breaking work produced by the Mayo clinic group, which swamps my paltry contribution to this area. However, My specific question in the previous letter [2] was not related to the ability of the IVUS-VH classification tree to determine plaque...

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  • DIRECT STENTING SHOULD BE ATTEMPTED BY DEFAULT WHENEVER POSSIBLE
    Inigo Lozano

    We have read with interest the article written by Piscione et al1 related with direct stenting. The authors have performed a meta-analysis of 24 randomised controlled trials of direct stenting vs. stenting with predilatation and the conclusion is a 23 % reduction in the odds of myocardial infarction. In our opinion, direct stenting should be the approach of choice in all the susceptible cases because this important bene...

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