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Hospitals that follow heart attack guidelines save lives

BMJ 2004; 328 doi: (Published 18 March 2004) Cite this as: BMJ 2004;328:664
  1. Janice Hopkins Tanne
  1. New York

    More patients who have had a heart attack walk out the door alive when hospitals stick to guidelines of the American Heart Association and the American College of Cardiology, says a study from Duke University presented at the college's meeting in New Orleans, Louisiana.

    It is one of the first studies to show the effect of guidelines on inhospital mortality in “real world patients,” said Dr Eric Peterson, a cardiologist at Duke Clinical Research Institute in Durham, North Carolina. “Typically, patients in randomised controlled trials are healthier and younger, good for testing efficacy of a drug. This population was older, sicker, at higher risk. …

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