Surgical treatment of acute myocardial infarct: clinical considerations.

J. P. Gott, David Han

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

Most clinicians have become convinced of the fundamental role of an early reperfusion strategy in the improved outcome for patients suffering acute myocardial infarction. An increasing body of work suggests that the surgeon has the best opportunity for control of the conditions of acute reperfusion, attenuation of secondary injury, and provision of superior myocardial salvage compared with thrombolytic or angioplasty therapy. Before general acceptance or implementation of surgical treatment as an initial treatment for certain acute infarct patient subgroups, the policy must be compared with our current standards of care in a prospective, randomized fashion. The available data suggest that such inclusion of a primary surgical option in trials investigating treatment of acute myocardial infarct is long overdue.

Original languageEnglish (US)
Pages (from-to)198-207
Number of pages10
JournalSeminars in Thoracic and Cardiovascular Surgery
Volume7
Issue number4
StatePublished - Oct 1995

Fingerprint

Myocardial Infarction
Reperfusion
Therapeutics
Standard of Care
Angioplasty
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

@article{64ee264bebb54a7a8f13f323d47785f1,
title = "Surgical treatment of acute myocardial infarct: clinical considerations.",
abstract = "Most clinicians have become convinced of the fundamental role of an early reperfusion strategy in the improved outcome for patients suffering acute myocardial infarction. An increasing body of work suggests that the surgeon has the best opportunity for control of the conditions of acute reperfusion, attenuation of secondary injury, and provision of superior myocardial salvage compared with thrombolytic or angioplasty therapy. Before general acceptance or implementation of surgical treatment as an initial treatment for certain acute infarct patient subgroups, the policy must be compared with our current standards of care in a prospective, randomized fashion. The available data suggest that such inclusion of a primary surgical option in trials investigating treatment of acute myocardial infarct is long overdue.",
author = "Gott, {J. P.} and David Han",
year = "1995",
month = "10",
language = "English (US)",
volume = "7",
pages = "198--207",
journal = "Seminars in Thoracic and Cardiovascular Surgery",
issn = "1043-0679",
publisher = "W.B. Saunders Ltd",
number = "4",

}

Surgical treatment of acute myocardial infarct : clinical considerations. / Gott, J. P.; Han, David.

In: Seminars in Thoracic and Cardiovascular Surgery, Vol. 7, No. 4, 10.1995, p. 198-207.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Surgical treatment of acute myocardial infarct

T2 - clinical considerations.

AU - Gott, J. P.

AU - Han, David

PY - 1995/10

Y1 - 1995/10

N2 - Most clinicians have become convinced of the fundamental role of an early reperfusion strategy in the improved outcome for patients suffering acute myocardial infarction. An increasing body of work suggests that the surgeon has the best opportunity for control of the conditions of acute reperfusion, attenuation of secondary injury, and provision of superior myocardial salvage compared with thrombolytic or angioplasty therapy. Before general acceptance or implementation of surgical treatment as an initial treatment for certain acute infarct patient subgroups, the policy must be compared with our current standards of care in a prospective, randomized fashion. The available data suggest that such inclusion of a primary surgical option in trials investigating treatment of acute myocardial infarct is long overdue.

AB - Most clinicians have become convinced of the fundamental role of an early reperfusion strategy in the improved outcome for patients suffering acute myocardial infarction. An increasing body of work suggests that the surgeon has the best opportunity for control of the conditions of acute reperfusion, attenuation of secondary injury, and provision of superior myocardial salvage compared with thrombolytic or angioplasty therapy. Before general acceptance or implementation of surgical treatment as an initial treatment for certain acute infarct patient subgroups, the policy must be compared with our current standards of care in a prospective, randomized fashion. The available data suggest that such inclusion of a primary surgical option in trials investigating treatment of acute myocardial infarct is long overdue.

UR - http://www.scopus.com/inward/record.url?scp=0029381773&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029381773&partnerID=8YFLogxK

M3 - Review article

C2 - 8590744

AN - SCOPUS:0029381773

VL - 7

SP - 198

EP - 207

JO - Seminars in Thoracic and Cardiovascular Surgery

JF - Seminars in Thoracic and Cardiovascular Surgery

SN - 1043-0679

IS - 4

ER -