2012
DOI: 10.1590/s0066-782x2012005000098
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Abstract: Over 230 million surgeries are performed annually worldwide, cardiac complications being the most common causes of postoperative morbidity and mortality. As life expectancy has extended worldwide, a growing number of patients with multiple comorbidities have undergone noncardiac surgeries. Consequently, cardiovascular complications associated with those procedures are expected to increase, and perioperative acute myocardial infarction (AMI) might become a frequent problem.In Brazil, the number of noncardiac su… Show more

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Cited by 18 publications
(13 citation statements)
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“…MI is the most feared cardiac complication in the perioperative period, occurring in 0.3-3% of low-risk patients with no history of CAD and reaching 33% in high-risk patients with a history of CAD. 69 MI shows high mortality rates (40-50%), 443 probably related to the existence of comorbidities, diagnostic difficulty, and limitations to use of antithrombotic and antiplatelet drugs. About 50% of perioperative MI is due to instability of atherosclerosis plaques, and the remainder is due to imbalances between supply and consumption of oxygen, 68 which should be considered not only in acute treatment but also in the establishment of prevention strategies.…”
Section: Diagnosis and Treatment Of Cardiovascular Complications Imentioning
confidence: 99%
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“…MI is the most feared cardiac complication in the perioperative period, occurring in 0.3-3% of low-risk patients with no history of CAD and reaching 33% in high-risk patients with a history of CAD. 69 MI shows high mortality rates (40-50%), 443 probably related to the existence of comorbidities, diagnostic difficulty, and limitations to use of antithrombotic and antiplatelet drugs. About 50% of perioperative MI is due to instability of atherosclerosis plaques, and the remainder is due to imbalances between supply and consumption of oxygen, 68 which should be considered not only in acute treatment but also in the establishment of prevention strategies.…”
Section: Diagnosis and Treatment Of Cardiovascular Complications Imentioning
confidence: 99%
“…Most perioperative ischemic events occur within the first three days after the surgical procedure. The classic clinical feature of precordial pain is absent in more than half of the patients, 68 , 69 , 444 which is partially explained by the residual effect of analgesics or sedatives used in that period. In addition, when chest pain is present, it is often attributed to other more obvious etiologies, such as incisional pain or position of the patient.…”
Section: Diagnosis and Treatment Of Cardiovascular Complications Imentioning
confidence: 99%
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“…In the application of MCA, the outcome (response) variable used was the expenditure with patients hospitalized for AMI (MCA output), because, as mentioned, coronary diseases, especially AMI, have a major financial impact on the health system 7,20 , and the others were considered as inputs, that is, possibly related to that expenditure. Initially, the "standardization of the indicator matrix" was performed.…”
Section: Discussionmentioning
confidence: 99%