Nathan AS, Xiang Q, Wojdyla D, et al. - Researchers undertook this hospital-level observational cross-sectional multicenter study among patients with acute myocardial infarction (AMI), to investigate correlation as well as reclassification between hospital-level disease-specific mortality and percutaneous coronary intervention (PCI) procedural mortality in these patients. The participants were selected from the Chest Pain–MI Registry. Hospitals in the CathPCI Registry also participated. This study involved 776,890 patients from the Chest Pain–MI Registry and 853,386 patients from the CathPCI Registry. According to the findings, only a moderate correlation between procedural results and disease-based results was identified for hospitals treating patients with AMI. Reclassification of about half of hospitals in the highest tertile of performance for PCI performance, into a lower performance tertile, was done when judged by disease-based metrics. In this study, higher mortality rates were noted when disease-based metrics vs procedural metrics were employed when evaluating patients experiencing cardiogenic shock and/or cardiac arrest, signifying what seems to be potential risk avoidance in this highest-risk subset of patients.