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Hooshang Bolooki, MD, FRCSC

JAMA. 1990;263(9):1237-1240.

Abstract
Complications of acute myocardial infarction that develop within the first 2 weeks after its onset have been associated with a poor prognosis and dismal surgical outcome. In recent years, aggressive use of hemodynamic monitoring and interventions that improve myocardial oxygen supply and demand have noticeably altered the prognosis. Urgent relief of myocardial ischemia with coronary reperfusion has had the largest impact in improving the results. Surgical treatment of mechanical and nonmechanical complications of acute myocardial infarction requires prompt decision making and expeditious implementation. Persistent left ventricular dysfunction and cardiogenic shock are the most important factors that influence the overall results.

(JAMA. 1990;263:1237-1240)

Author Affiliations
From the Division of Thoracic and Cardiovascular Surgery, University of Miami (Fla) School of Medicine and Jackson Memorial Hospital.

Footnotes
This article is one of a series sponsored by the American Heart Association.

Reprint requests to Division of Thoracic and Cardiovascular Surgery, University of Miami School of Medicine, R-114, PO Box 016960, Miami, FL 33101 (Dr Bolooki).

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