Introduction This report deals with a complete 10-year experience of one physician in the personal management of patients with acute myocardial infarction. Justification for this summary is based on several management factors thought to be unique in such reports: All cases were managed solely by me in the private practice of internal medicine in a town of 30,000 population. No professional middlemen—interns, residents, consultants— were available, and all details of therapy were continuously under my supervision only. The interval of this report is an even 10 years, and all proved cases seen in practice in this time are included. No cases seen in consultation with another physician are included. The management approach remained essentially unchanged for this entire period. The availability of the physician to the patient was a constant factor in the situation. My office was in one hospital and within a few blocks