title: Present indications for direct myocardial revascularization.
abstract: The present indications for direct myocardial revascularization in coronary arteriosclerosis are discussed. It is important to establish a universally acceptable classification of myocardial ischemia and such a classification is proposed. Without this classification, the advantages and disadvantages of medical and surgical treatment cannot be analyzed. Ergometric studies are of great value in deciding between medical and surgical treatment. Cine coronary angiography is essential in the accurate diagnosis and selection of patients for surgery. It is a safe procedure, even when undertaken in an emergency situation. The success of surgical therapy for coronary arteriosclerosis is emphasized and its superiority over medical treatment for most forms of angina pectoris is demonstrated.
mesh_terms: D000787:Angina Pectoris / Q000145:classification / Q000628:therapy; D000790:Angiocardiography; D002933:Cineradiography; D003327:Coronary Disease / Q000145:classification / Q000000981:diagnostic imaging / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy; D009204:Myocardial Revascularization