[Skip to Content]
[Skip to Content Landing]
December 1969

Arrhythmias and Left Ventricular Efficiency Following Infarction and Infarctectomy

Author Affiliations

Winston-Salem, NC
From the Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC.

Arch Surg. 1969;99(6):802-807. doi:10.1001/archsurg.1969.01340180126024

The overall mortality of acute myocardial infarction, in most series, is approximated at 30%. In the presence of congestive heart failure and pulmonary edema, the mortality rises to 60%, and the presence of shock to 80% to 100%. In a series of patients with acute myocardial infarction admitted to one hospital, 25% to 50% died secondary to shock, congestive heart failure, myocardial rupture, or arrhythmias. The majority of these patients died within the first 48 to 72 hours following the onset of symptoms.1 Even with recent improvement in medical management, there has been relatively little change in the mortality rate in this group of patients.

Murray,2 in 1947, first proposed that resection of an acutely infarcted segment of myocardium would improve cardiac function and decrease myocardial irritability. More recently, studies by other workers including Heimbecker et al,3,4 Glass et al,5,6 Jude et al,7 and Crastnopol

Malach, M., and Rosenberg, A.B.:  Acute Myocardial Infarction in a City Hospital: Experience With Shock ,  Amer J Cardiol 5:487-492 ( (April) ) 1960.Crossref
Murray, G.:  The Pathophysiology of the Cause of Death From Coronary Thrombosis ,  Ann Surg 126:523-534 ( (Oct) ) 1947.Crossref
Heimbecker, R.O., et al:  Surgery for Massive Myocardial Infarction: An Experimental Study of Emergency Infarctectomy ,  Surgery 61:51-58 ( (Jan) ) 1967.
Heimbecker, R.O.; Lemire, G.; and Chen, C.:  Surgery for Massive Myocardial Infarction: An Experimental Study of Emergency Infarctectomy With a Preliminary Report on the Clinical Application ,  Circulation 37(suppl 2):3-11 ( (April) ) 1968.Crossref
Glass, B.; Carter, R.; and Albert, H.:  Experimental Myocardial Infarction: Effect on Cardiac Output and Response of the Heart After Surgical Excision ,  Amer Surg 33:912-916 ( (Nov) ) 1967.
Glass, B., et al:  Excision of Myocardial Infarcts: Experimental and Clinical Studies ,  Arch Surg 97:940-946 ( (Dec) ) 1968.Crossref
Jude, J.R., et al:  Surgical Treatment of Experimental Myocardial Infarction ,  JAMA 203:451-456 ( (Feb 12) ) 1968.Crossref
Crastnopol, P.; Bumin, L.; and Douglas, A.H.:  Experimental Myocardial Infarction: Its Treatment by Excision and Teflon Felt Replacement ,  J Surg Res 3:460-464 ( (Nov) ) 1963.Crossref
Sarnoff, S.T., and Burlund, E.:  Ventricular Function: Starling's Law of the Heart Studied by Means of Simultaneous Right and Left Ventricular Function Curves in the Dog ,  Circulation 9:706-718 ( (May) ) 1954.Crossref
Rudhe, U., et al:  Diagnosis of Congenital Heart Disease , ed 2, Chicago: Year Book Medical Publishers Inc., 1959, pp 95-96.