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Eur J Cardiothorac Surg 2006;30:954-955
© 2006 Elsevier Science NL

Letters to the Editor

Optimal timing of surgical revascularisation after acute myocardial infarction

Ahmet Ruchan Akar*, Zeynep Eyileten

Department of Cardiovascular Surgery, Heart Center, Ankara University School of Medicine, Dikimevi, Ankara 06340, Turkey

Received 24 March 2006; accepted 28 September 2006.

* Corresponding author. Tel.: +90 5055279680; fax: +90 3123625639. (Email: rakar@medicine.ankara.edu.tr).

Key Words: Myocardial infarction • Interval • Coronary bypass surgery

The first 20% of the full text of this article appears below.

The article by Voisine et al. [1] highlighting the influence of patient age and time elapsed between acute myocardial infarction (AMI) and isolated CABG surgery on operative mortality, which appeared in the March 2006 issue of EJCTS, caught our attention. The results of this retrospective study suggest that operative mortality is significantly increased between 6 h and 1 week after AMI, especially in older patients. In the case of AMI, the dogma of ‘time is muscle’ has been challenged by Voisine et al. [1] for early surgical revascularisation as ‘inappropriate timing is excessive mortality’. We wish to congratulate the authors on an interesting paper especially . . . [Full Text of this Article]






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Copyright © 2006 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.