Selinger S L, Berg R, Leonard J L, Grunwald R P, O'Grady W P
Circulation. 1981 Aug;64(2 Pt 2):II28-33.
A series of 101 consecutive patients underwent coronary revascularization within a mean of 5.8 hours after anterior myocardial infarction. Forty-one patients had obstruction of the left anterior descending coronary artery (LAD), 35 had obstruction of the LAD and of the right or circumflex coronary artery and 25 had obstruction of the LAD and both the right and circumflex coronary arteries. Sixty-four patients (63%) had total occlusion of the LAD. In-hospital mortality was 2%. The total mortality during a mean follow-up of 43 months was 5%, and 90% of the patients were free of angina. Thirty-six patients had repeat coronary arteriography a mean of 13.4 months after operation. Fifty-two of 62 grafts (84%) were patent. Cardiac catheterization and immediate coronary artery bypass grafting in the first hours of anterior myocardial infarction can be done safely and may reduce in-hospital and long-term mortality.
101例连续患者在前壁心肌梗死后平均5.8小时内接受了冠状动脉血运重建术。41例患者左前降支冠状动脉（LAD）阻塞，35例患者LAD及右冠状动脉或回旋支冠状动脉阻塞，25例患者LAD及右冠状动脉和回旋支冠状动脉均阻塞。64例患者（63%）LAD完全闭塞。住院死亡率为2%。平均43个月随访期间的总死亡率为5%，90%的患者无心绞痛。36例患者在术后平均13.4个月进行了重复冠状动脉造影。62处移植血管中有52处（84%）通畅。在前壁心肌梗死的最初数小时内行心脏导管插入术及即刻冠状动脉旁路移植术可安全进行，并可能降低住院及长期死亡率。
