After six years as associate director of Cleveland's * Course in Cardiac Resuscitation, I am obliged to repeat that cardiac arrest in the operating room is still an enigma and challenge to the surgeon and the anesthetist. Our experience has also led us to believe that the time has arrived when resuscitative procedures can and must be included in the treatment of the acute coronary problem. By that I mean that there are now a handful of cases on record which have been successfully revived even after suffering apparent death from acute coronary occlusion.
No doubt there are many similar persons who, if their hearts were given another chance, might function well for a considerable time in the future. They have good heart muscle except for a tiny area of slight damage. Yater1 found, in his autopsy series of 950 men who died of coronary artery disease in the Armed