We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Changes in Hospitalizations, Treatment Patterns, and Outcomes During Major Cardiovascular Meetings

Taisei Kobayashi, MD1; Jay Giri, MD, MPH1
[+] Author Affiliations
1Department of Cardiovascular Medicine, University of Pennsylvania, Philadelphia
JAMA Intern Med. 2015;175(8):1420. doi:10.1001/jamainternmed.2015.1639.
Text Size: A A A
Published online


To the Editor While Jena et al1 should be congratulated on rigorous analytic technique, we fear they have misinterpreted their results with regards to the effects of early intervention in high-risk acute myocardial infarction (AMI).

Patients with AMI undergoing percutaneous coronary intervention may be more likely to have early adverse effects of invasive procedures.2 However, data from randomized clinical trials have consistently demonstrated several longer-term benefits with early invasive strategies and more aggressive use of percutaneous coronary intervention in patients presenting with AMI.24 These may include mortality improvements, as well as improvements in other important patientcentric outcomes such as reduced recurrent myocardial infarction, reduced need for urgent revascularization, and freedom from angina. These benefits manifest over intermediate to long-term follow-up which is unavailable in the current analysis. Importantly, patients with the highest-risk features demonstrate the greatest magnitude of overall long-term benefit from aggressive early invasive therapies.2,4


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





August 1, 2015
Behnood Bikdeli, MD; Mark D. Siegel, MD
1Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut
JAMA Intern Med. 2015;175(8):1419. doi:10.1001/jamainternmed.2015.1633.
August 1, 2015
Krysthel Engstrom, MD; Robert T. Faillace, MD, ScM
1Department of Medicine, Albert Einstein College of Medicine, New York, New York2Jacobi Medical Center, Bronx, New York
1Department of Medicine, Albert Einstein College of Medicine, New York, New York2Jacobi Medical Center, Bronx, New York3North Bronx Healthcare Network, Bronx, New York4North Central Bronx Hospital, Bronx, New York
JAMA Intern Med. 2015;175(8):1419-1420. doi:10.1001/jamainternmed.2015.1636.
August 1, 2015
Anupam B. Jena, MD, PhD; John Romley, PhD
1Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
2Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles
JAMA Intern Med. 2015;175(8):1420-1421. doi:10.1001/jamainternmed.2015.1642.
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...