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A Long Look at a Short Queue

Thomas B. Graboys, MD

JAMA. 1999;282:184-186.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Over the past 2 decades there has been an exponential increase in the use of all cardiovascular diagnostic and therapeutic procedures, especially coronary angiography. Indeed, heart catheterization is now the most frequently performed in-hospital operative procedure in patients older than 65 years.¹ Researchers estimate that during 1995 more than 1.6 million patients underwent heart catheterization in the United States and that by 2010, upward of 3 million cardiac catheterizations will be performed annually.¹

In this issue of THE JOURNAL, Rosanio and colleagues² examine outcomes of 381 patients who were referred to a public hospital in Galveston, Tex, for elective coronary angiography but were forced into a queue. Patients with recent myocardial infarction and class IV angina were taken to angiography and excluded from the study. The authors found that after a mean follow-up of 8.4 months, 283 patients (91%) had uneventful waits. However, after 3 weeks . . . [Full Text of this Article]

Author Affiliation: Lown Cardiovascular Center, Brookline, Mass.

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