Infarction In Non-cardiac Surgery Research Articles

Intraoperative myocardial infarction in non-cardiac surgery: is a universal definition feasible? reply

Intraoperative myocardial infarction in non-cardiac surgery: is a universal definition feasible? reply

Intraoperative myocardial infarction in non-cardiac surgery: is a universal definition feasible?

Diagnostic criteria for the redefinition of acute myocardial infarction (AMI) have been recently published.1 In this new classification, intraoperative (IPEMI) or post-operative (POMI) AMI, in the setting of non-cardiac surgery, were not included. It is well known that this category of AMI occurs under particular circumstances while the diagnostic criteria have not been fully elucidated.2 Patients with pre-operative cardiac risk undergoing intermediate or high surgical risk operations are more prone to IPEMI and POMI. …

Perioperative myocardial infarction in non-cardiac surgery. Pathophysiology and clinical implications

Advances in surgical and anaesthetic techniques and an aging patient population have resulted in more complex procedures being performed in greater numbers of aged subjects and in patients with a high likelihood of significant cardiovascular disease. Nearly one fourth of non-cardiac surgical procedures (major intra-abdominal, thoracic, vascular, and orthopaedic procedures) performed in persons older than 65 years have been found to be associated with significant perioperative cardiovascular morbidity and mortality. During previous years the main attempt was to define strategies to accurately estimate perioperative cardiovascular risk based either on the characteristics of surgery and on patient characteristics. More recently preventive medical strategies have been proposed. Therefore, the physician has to be aware of the key elements useful to calculate the perioperative cardiovascular risk, and of the medical preventive treatment or further interventions to adopt in patients candidate to surgery.