This Article Extract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Srinivas, V.S. Articles by Williams, D. O. Search for Related Content PubMed PubMed Citation Articles by Srinivas, V.S. Articles by Williams, D. O. Related Collections Acute coronary syndromes Angioplasty and Stenting Other Research

(Circulation. 2003;107:e88.)
© 2003 American Heart Association, Inc.

Correspondence

A Decade of Improvement in the Clinical Outcomes of Percutaneous Coronary Intervention for Multivessel Coronary Artery Disease

V.S. Srinivas, MB, BS

Department of Medicine, Division of Cardiovascular Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY

Maria Mori Brooks, PhD; Katherine M. Detre, MD, DrPH; Janet Johnston, PhD

Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pa

Spencer B. King, III, MD

Fuqua Heart Center, Atlanta, Ga

Alice K. Jacobs, MD

Boston University Medical Center, Boston, Mass

David O. Williams, MD

Division of Cardiology, Rhode Island Hospital, Providence, RI

To the Editor:

We appreciate the editorial by Drs Popma, Kuntz, and Baim¹ highlighting the recently published comparison of the National Heart, Lung, and Blood Institute Dynamic Registry and the Bypass Angioplasty Revascularization Investigation (BARI) study.² In particular, it is gratifying to have them recognize the value of "real-world" registries such as the Dynamic Registry.

We would like to correct two items reported in that editorial.

(1) Although it is true that BARI utilized an angiographic core laboratory, only clinical site readings were used for both the BARI patients and the Dynamic Registry patients to appropriately compare the two studies.

(2) As Popma et al noted, it would be surprising for the frequency of periprocedural myocardial infarction (MI) to remain unchanged between BARI (1988 to 1991) and the Dynamic Registry (1997 to 1999).¹ In fact, as we reported "the incidence of in-hospital MI (0.8% versus 2.1%, P=0.025) was significantly lower in the Dynamic Registry."²

References

1. Popma JJ, Kuntz RE, Baim DS. A decade of improvement in the clinical outcomes of percutaneous coronary intervention for multivessel coronary artery disease. Circulation. 2002; 106: 1592–1594.[Free Full Text]

2. Srinivas VS, Brooks MM, Detre KM, et al. Contemporary percutaneous coronary intervention versus balloon angioplasty for multivessel coronary artery disease: a comparison of the National Heart, Lung and Blood Institute Dynamic Registry and the Bypass Angioplasty Revascularization Investigation (BARI) study. Circulation. 2002; 106: 1627–1633.[Abstract/Free Full Text]

This Article Extract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Srinivas, V.S. Articles by Williams, D. O. Search for Related Content PubMed PubMed Citation Articles by Srinivas, V.S. Articles by Williams, D. O. Related Collections Acute coronary syndromes Angioplasty and Stenting Other Research