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I am very concerned about the opinion stated by David K. Cundiff in the September 24, 2001, issue of the ARCHIVES.¹ Though Dr Cundiff does raise some very interesting statistical observations, I would be hard-pressed given the current guidelines to not treat a patient who has had acute pulmonary embolus with anticoagulation for 6 months. I think that this opinion should at least have had a counterbalancing editorial to put it in context with current guidelines. Left unchallenged, this creates a significant problem for all physicians who deal with patients with pulmonary emboli, and I would have thought that you would have counterbalanced this.

Stuart J. Padove, MD
Birmingham, Ala

1. Cundiff DK. Does anticoagulant treatment reduce the mortality of acute pulmonary embolism? Arch Intern Med. 2001;161:2148. FREE FULL TEXT

In reply

The article by David Cundiff appeared in the "Comments, Opinions, and Brief Case Reports" section of the ARCHIVES. It presented his opinion, and thus a "counterbalancing editorial comment" would not have been appropriate.

His main point was that . . . [Full Text of this Article]

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Does Anticoagulant Treatment Reduce the Mortality of Acute Pulmonary Embolism?
David K. Cundiff
Arch Intern Med. 2001;161(17):2148.
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