Important changes have taken place in the care of patients withacute myocardial infarctions. The concept that ischemic myocardiumcan be reperfused by means of thrombolytic therapy or angioplastyhas fundamentally changed our approach to such patients; emphasisis now placed on the rapid restoration of blood flow to thejeopardized area.
The importance and urgency of reperfusion increase with theamount of myocardium at risk. Electrocardiography is an extremelyuseful tool for determining the location and size of an acutemyocardial infarct, and every patient in the emergency roomor coronary care unit deserves a physician who knows how . . . [Full Text of this Article]
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