Formanyyears,cardiovascularclinicianshavebeenmakingtheargumentthatcompleterevascularizationisthewaytoproceedinpatientswithanyformofischemicheartdisease.Ibelievethatcardiovascularsurgeonsagreewiththisapproachandtrytheirbesttocompletelyrevascularizepatientsatthetimeofcoronaryarterybypassgraftsurgery.AttheUniversityofFlorida,we,likemanyothersintheworld,treatanacutemyocardialinfarctionasanemergency,and,ifthereisSTsegmentelevation,thepatientistransportedimmediatelytothecardiaccatheterizationlaboratoryfromtheemergencydepartment,forrecanalizationoftheculpritartery.
