This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on Web of Science (21)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Steven J. Phillips, MD; Robert H. Zeff, MD; Chamnahn Kongtahworn, MD; James R. Skinner, MD; Liberato lannone, MD; T. M. Brown, MD; William Wickemeyer, MD; David F. Gordon, MD

JAMA. 1982;248(11):1325-1328.

Abstract
One hundred fifty-six patients underwent emergency coronary revascularization during the early phases of evolving myocardial infarction (MI). There were six hospital deaths (3.8%) and two later deaths (1.3%). Thrombectomy of the MI artery was achieved in 79% of the patients, and 17% of the patients showed no observable lesion in the MI vessel on restudy. Graft patency was 99%. Late follow-up to 62 months disclosed 17 patients with residual limitations. Analysis of the data established criteria for recognizing patients with early MI who would benefit from surgical therapy. The criteria are derived by comparing preoperative and postoperative ventricular anatomy, creatine phosphokinase levels, and hemodynamics.

(JAMA 1982;248:1325-1328)

Author Affiliations
From the Department of Cardiovascular Medicine and Surgery, Iowa Heart Center and Mercy Hospital, Des Moines.

Footnotes
Reprint requests to 944 18th St, Des Moines, IA 59314 (Dr Phillips).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?