BACKGROUND Clinical trials and national performance measures increasingly mandate reporting patients' perspectives of their health status: their symptoms, function, and quality of life. Although the Seattle Angina Questionnaire (SAQ) is a validated disease-specific health status instrument for coronary artery disease (CAD) with high test-retest reliability, predictive power, and responsiveness,...

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The cumulative exposure to ionizing radiation from medical imaging is increasing with attention now focused on all aspects of radiation safety (1). In this issue of JACC: Cardiovascular Interventions, Fetterly et al. (2) present their study on the factors that influence radiation dose during percutaneous coronary interventions (PCI). Interventional cardiologists have a variety of tasks to maste...

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All guidelines recommend primary percutaneous coronary intervention as the default strategy for achieving reperfusion in ST-segment elevation myocardial infarction patients. These recommendations are based upon randomized trials which compared primary percutaneous coronary intervention with stand-alone intravenous fibrinolysis. Since the time these trials were performed, however, it has been sh...