Surgical treatment of acute myocardial infarct: clinical considerations.

J. P. Gott, David Han

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations


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
Issue number4
StatePublished - Oct 1995

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery


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