Abstract
Usefulness of CCU for the management of acute myocardial infarction has been well recognized. Three major problems are discussed here.
In the first, unless there is sufficient emergency medical system for early admission of the patients, the usefulness would be largely limitted as in Japan at present. In the second, establishment of educational program and authorization of specialty for CCU nurses are required. In the third, methods of management for severe pump failure and cardiac rupture which are almost all causes of death in CCU must be investigated.
