Cardiovascular Business - March/April 2008 - (Page 19) Clinical Study Digest Cardiac Mr can vie with sPECT for coronary artery disease detection. (source: Philips Healthcare) aHJ: state-required reporting leads to case selection bias New York patients with acute MI and cardiogenic shock were less likely to undergo coronary angiography and PCI, and waited significantly longer to receive CABG than their non–New York counterparts, in a propensity-adjusted analysis. The findings suggest that state-required reporting to the N.Y. State Cardiac Surgery and PCI Reporting System may result in the reluctance to revascularize the highest-risk cardiac patients (Am Heart J 2008;155[2]:267-273). The researchers found that although PCI and CABG (reportable procedures) differed between N.Y. and non–N.Y. patients, nonreportable procedures like intra-aortic balloon pump and right heart catheterization were used at least as often in New York. “These findings support the conclusion that a case selection bias influenced New York operators,” the authors wrote. AdVErTisEMENT: refer to inside Front Cover CardiovascularBusiness.com Cardiovascular Business 1 http://www.medtronic.com http://www.endeavorstent.com http://CardiovascularBusiness.com
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