This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related letters  • Related article  • Similar articles in JAMA  Topic Collections  • Cardiovascular Disease/ Myocardial Infarction  • Alert me on articles by topic

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

In Reply: Dr Cubbon and colleagues describe their findings in diabetic patients and comment that we did not separately report outcomes in patients with diabetes. Reporting outcomes in subsets was beyond the scope of this article. Nevertheless, we have analyzed the outcomes in patients with prior documented diabetes (27% of those with non–ST-segment ACS; 21% of those with STEMI). Congestive heart failure declined in diabetic patients with non-STEMI from 15.9% in July-December 1999 to 9.8% in July-December 2005 (P < .001). For all non-STEMI patients, the decline was from 12.3% to 7.7% (P < .001). We observed no significant change in raw or risk-adjusted death rates in diabetic patients (whereas mortality was significantly reduced for the whole population [P = .02]). Similarly, in diabetic patients with STEMI, congestive heart failure declined from 29.5% to 12.8% (P < .001), and correspondingly for all patients from 19.6% to 10.7% (P < .001). . . . [Full Text of this Article]

Keith A. A. Fox, MB, ChB, FRCP
k.a.a.fox@ed.ac.uk
Cardiovascular Research
University of Edinburgh
Edinburgh, Scotland

RELATED LETTERS

Lower Rates of Heart Failure and Death in Acute Coronary Syndromes
Richard M. Cubbon, Christopher P. Gale, Peter J. Grant, Alistair S. Hall, and Mark T. Kearney
JAMA. 2007;298(9):969.
EXTRACT | FULL TEXT  

Lower Rates of Heart Failure and Death in Acute Coronary Syndromes
Lydia A. Bazzano
JAMA. 2007;298(9):969-970.
EXTRACT | FULL TEXT  

Lower Rates of Heart Failure and Death in Acute Coronary Syndromes
Ugo Fedeli, Stefano Brocco, and Paolo Spolaore
JAMA. 2007;298(9):970.
EXTRACT | FULL TEXT  

RELATED ARTICLE

Decline in Rates of Death and Heart Failure in Acute Coronary Syndromes, 1999-2006
Keith A. A. Fox, Philippe Gabriel Steg, Kim A. Eagle, Shaun G. Goodman, Frederick A. Anderson, Jr, Christopher B. Granger, Marcus D. Flather, Andrzej Budaj, Ann Quill, Joel M. Gore, and for the GRACE Investigators
JAMA. 2007;297(17):1892-1900.
ABSTRACT | FULL TEXT