DeWood M A, Berg R
Cardiol Clin. 1984 Feb;2(1):113-22.
The role of coronary artery bypass graft surgery during myocardial infarction is unclear. This article reviews worldwide results with this form of therapy. Included in the analysis are the effects of surgical reperfusion on left ventricular function, anginal classification following reperfusion, the effects of early versus late reperfusion, and an in-depth mortality analysis from multiple medical centers. It is concluded that surgery can be performed with a very low mortality in most patients with acute myocardial infarction, but the most appropriate form of therapy of acute myocardial infarction that will result in low mortality and morbidity remains a challenge for future investigation.
冠状动脉搭桥手术在心肌梗死期间的作用尚不清楚。本文回顾了全球范围内这种治疗方式的结果。分析内容包括手术再灌注对左心室功能的影响、再灌注后的心绞痛分级、早期与晚期再灌注的影响以及多个医疗中心的深入死亡率分析。得出的结论是，大多数急性心肌梗死患者手术死亡率很低，但能降低死亡率和发病率的急性心肌梗死最恰当治疗方式仍是未来研究的挑战。
