At first, it was just high-risk patients having major heart attacks who routinely had the procedure.

There are a number of genetic factors that can be used to identify high-risk patients.

All of these factors can contribute to an advanced disease state in high-risk patients.

We think this has a devastating impact on the quality of health care - as I say, high-risk patients don't get covered anymore.

At the same time, doctors suspect that some high-risk patients are pressured to go out of state.

There was less change among high-risk patients of new surgeons.

They point out that quite a few hospitals, including some with a fair number of high-risk patients, already have rates at or below 15 percent.

The ones getting cited are now turning down high-risk patients.

Beta blockade should also be considered in the high-risk patients.

But he said the system might be biased when applied to a few cases of individual doctors who had high-risk patients.