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Editorial
This editorial discusses the evolving approach to the diagnosis and therapy of acute myocardial infarction, highlighting the shift from conservative management to more aggressive interventions.
Editorials1 January 1988Recognition and Management of Expanding Myocardial InfarctionJACK FERLINZ, M.D.JACK FERLINZ, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-108-1-131 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMany changes in our approach to the diagnosis and therapy of acute myocardial infarction have occurred in the last few years. About 10 years ago, most aggressive interventions were thought to be contraindicated in a patient admitted with acute myocardial infarction; the prevailing approach was for conservative treatment, to give the patient a chance to stabilize. Only in the recovery stage was an invasive procedure such as cardiac catheterization or even coronary artery bypass surgery contemplated with any degree of enthusiasm. Tempora mutantur.Beyond the evidence that many beta blockers and some calcium blockers reduce morbidity and mortality when given...References1. . Effectiveness of intravenous thrombolytic treatment in acute myocardial infarction. Lancet. 1986;1:397-402. MedlineGoogle Scholar2. MILLERALMAGORKEREN HYG. Early intervention in acute myocardial infarction: significance for myocardial salvage of immediate intravenous streptokinase therapy followed by coronary angioplasty. J Am Coll Cardiol. 1987;9:608-14. CrossrefMedlineGoogle Scholar3. MULLERRUDEBRAUNWALD JRE. Myocardial infarct extension: Incidence, outcome, and risk factors in the MILIS Study. Ann Intern Med. 1988;108:1-6. LinkGoogle Scholar4. RUDEPOOLEMULLER RWJ. Electrocardiographic and clinical criteria for recognition of acute myocardial infarction based on analysis of 3,697 patients. Am J Cardiol. 1983;52:936-42. CrossrefMedlineGoogle Scholar5. ROBERTSCROFTGOLD RCH. 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CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Cook County Hospital Chicago, Illinois PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThrombosis and Hemostasis in Cardiology: Review of Pathophysiology and Clinical Practice (Part I)Origins, Evolution, and Prognosis of Acute Myocardial Ischemic Syndromes: Focus on Non-Q-Wave Myocardial InfarctionAcute myocardial infarction: Does the lack of Q waves help or hinder?Right ventricular performance assays: slowly coming of age 1 January 1988Volume 108, Issue 1Page: 131-134KeywordsAcute myocardial infarctionCalciumCardiac surgeryCatheterizationCoronary arteriesMorbidityMortalityMyocardial infarction Issue Published: 1 January 1988 PDF downloadLoading ...
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