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The New Definition of Myocardial Infarction
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In reply. We would like to thank Drs Guerra and Szapary for highlighting an important issue with regard to the use of statins in the treatment of patients with acute coronary syndrome, and we appreciate the opportunity to clarify our data. While we noted a significantly lower 6-month mortality among patients diagnosed with acute myocardial infarction using the prior World Health Organization criteria (group A) compared with those diagnosed using the new European Society of Cardiology and American College of Cardiology criteria (group B), no difference in 6-month outcomes was observed after adjusting for age, sex, and patient characteristics. We have concluded that more comorbid conditions in group B may explain this observed mortality difference and that a more aggressive treatment approach may lead to improved outcomes. With respect to statins, their use was similar between patients in groups A and B, both at the time of admission (27% vs . . . [Full Text of this Article]
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