Abstract

In January 2013, this column discussed the preliminary fi ndings of the Trial to Assess Chelation Therapy (TACT) based on information presented at the annual meeting of the American Heart Association (AHA). The study has now been published, and the debate regarding its fi ndings shows no signs of stopping.1,2 TACT’s objective was to determine if an ethylene diamine tetra-acetic acid (EDTA) chelation regimen of 40 infusions decreased the risk of cardiovascular events in patients who had a prior myocardial infarction (MI) and who were receiving standard evidencebased post-MI care. The primary endpoint was a composite of death from any cause, reinfarction, stroke, coronary revascularization, or hospitalization for angina. A secondary endpoint was the composite of cardiovascular

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