The CPU-65 risk index: validation and clinical value.

In the overloaded situation under which the emergency departments (ED) operate in Spain,1 the immediate attention that the patient with chest pain (CP) requires constitutes a real challenge. Catheterization of these patients is an essential prerequisite prior to the application of algorithms and indexes that facilitate rapid detection of those who really have an acute coronary syndrome (ACS). Consequently, we have read the article that recently appeared in Revista Española de Cardiología (Spanish journal of Cardiology) by Martínez-Sellés et al2 with great interest. Without going into conceptual stent structure; the Cypher (Cordis, Johnson & Johnson) is the most frequently described and it has been proposed that the closed-cell design may be a determining factor.2,3 Initially, in our case, this complication was not associated with restenosis, though the long-term consequences are unknown. As we have shown, multislice CT is a technique that is adequate for diagnosis and follow-up of this rare complication.