July 12th, 2011
Pass (Up) the Guidelines, Please
Richard A. Lange, MD, MBA and L. David Hillis, MD
The Occluded Artery Trial (OAT) demonstrated no benefit of routine PCI in persistently occluded infarct-related arteries identified more than 24 hours after MI. These results were incorporated into the revised guidelines for STEMI, NSTEMI, and PCI (published in 2007 and 2008) as a class III recommendation (i.e., not indicated and inappropriate). The senior investigator for […]
July 11th, 2011
OAT Had Little Impact on Clinical Practice
Larry Husten, PHD
Once again, a study finds that cardiologists don’t always pay attention to the literature and guidelines. In 2006, the Occluded Artery Trial (OAT) showed no benefit for routine PCI in patients with persistently occluded infarct-related arteries identified at least one day after an MI. But the study appears to have had minimal impact on clinical […]
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