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(Chest. 1972;61:479-480.)
© 1972 American College of Chest Physicians

Emergency Myocardial Revascularization for Impending Myocardial Infarctions

Cary J. Lambert M.D., F.C.C.P.1; Ben F. Mitchel M.D., F.C.C.P.1; Maurice Adam M.D., F.C.C.P.1; and Gerald F. Geisler M.D., F.C.C.P.1

1 Departments of Thoracic and Cardiovascular Surgery, Baylor University Medical Center and St. Paul Hospital, Dallas

1. Preinfarction angina is not associated with structural pathologic change and appropriate revascularization can preserve ventricular viability.

2. Cine coronary angiography has been performed safely in this group of patients and is absolutely necessary before surgery.

3. Emergency operations have not been associated with any added mortality over that observed when performed purely on an elective basis.

4. The preinfarction syndrome was favorably terminated in 80 percent of this group of patients.

5. The placement of temporary pacing wires and the use of permanent epicardial leads, when indicated, does not add surgical morbidity and mortality.






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Copyright © 1972 by the American College of Chest Physicians.