[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.205.87.3. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
March 2, 1990

Surgical Treatment of Complications of Acute Myocardial Infarction

Author Affiliations

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

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

JAMA. 1990;263(9):1237-1240. doi:10.1001/jama.1990.03440090071029
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)

×