THE RECENTLY issued Guidelines for the Management of Patients With Acute Myocardial Infarction (MI) "contain much that is new in terms of the rubric doctors follow," according to Thomas J. Ryan, MD, first author of the new edition. Since the original guidelines were published by the American College of Cardiology (ACC) and American Heart Association (AHA) in 1990, he said at the AHA's annual scientific sessions in New Orleans, La, advances in diagnosis and treatment that have come into practice through an "evidencebased medicine" approach dictated the current revision (published in J Am Coll Cardiol. 1996;94:2341-2350).
After reviewing some 5000 US and European publications, many of which included data from controlled clinical trials, members of the guideline committee created the new document, which is written for a multidisciplinary audience. It has been endorsed by the American Association of Critical Care Nurses, American College of Emergency Physicians, and American Society of