Cleveland clinic is a leading centre for cardiac care .Major technological breakthrough occurs from this institute than any other place. Thousands of articles come out every year. Some articles , get global attention and make a huge impact. These are usually related to a new hi- tech modality like CRT devices or percutaneous aortic valve deployment etc ,etc.
Some articles , which are very important may not get the due attention . Journal editorial boards often have a scorecard called impact factor .That is , how a journal is impacting the practice habits of medical professionals . Ideally we need to have to grade individual articles with impact factor .Many articles may not have any significant impact however good the impact factor of the journal.
Here is an article, which excellently depicts the principles of management of ACS. It was published in 2003 JACC, by Steven Nissen from Cleveland, Ohio .It deserves more attention . Every cardiologist , involved in ACS management should read this, especially the interventionist.
Link to article placed her with courtesey of JACC
Dr.S.Venkatesan MD 
