Acute myocardial infarction: disposition to the operating room?
Given their low incidence, mechanical complications of AMI represent a diagnostic and therapeutic challenge for the EP. When the panoply of medical interventions has reached its limitation, surgical treatment plays a role in the management of the patient who has AMI. For patients who have CS and severe compromise of myocardial reserve, surgical intervention might represent the only means of restoring blood flow to the myocardium. For patients who have mechanical complications, correction of the defect before the onset of terminal organ failure might provide long-term survival.
Conforto
Alessandra
A
Department of Emergency Medicine, LAC + USC Medical Center, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA. conforto@usc.edu
Nuño
Ismael
I
D004636:Emergency Service, Hospital; D006341:Heart Rupture / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D006352:Heart Ventricles / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications* / Q000628:therapy; D010210:Papillary Muscles / Q000503:physiopathology / Q000601:surgery; D010360:Patient Transfer / Q000592:standards; D012307:Risk Factors