Long-term MI Outcomes at Hospitals With or Without On-site Revascularization

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Abstract
Mark Twain reputedly said: "To a man with a hammer, every nail looks like it needs driving." This aphorism is reflected in the oft-replicated finding that, when patients with acute myocardial infarction (AMI) are admitted to hospitals with on-site revascularization facilities, they undergo percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) surgery much more often than those admitted to hospitals without such facilities.1 Many studies have now compared patient outcomes in these 2 practice settings, and most have demonstrated similar survival but better quality of life or lower rates of recurrent cardiac admissions for patients experiencing higher rates of revascularization.2-13