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 language | English (US) |
|---|---|
| Pages (from-to) | 198-207 |
| Number of pages | 10 |
| Journal | Seminars in Thoracic and Cardiovascular Surgery |
| Volume | 7 |
| Issue number | 4 |
| State | Published - Oct 1995 |
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All Science Journal Classification (ASJC) codes
- Cardiology and Cardiovascular Medicine
Cite this
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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 journal › Review 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 -