Coronary Angioplasty Following Acute Perioperative Myocardial Infarction

Roth, Steven; Shay, Joanne; Chua, K. G.

doi:10.1097/00000542-198908000-00022

Cited by 9 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast there has been very little, if any, investigation into the manage- We systematically searched Pubmed up to May 2011 for studies reporting therapeutic interventions for peri-operative myocardial infarction, using the terms 'peri(-)operative myocardial infarction' and 'treatment', and extracted all studies that reported treatment modalities used in patients suffering peri-operative myocardial infarction following non-cardiac surgery. After screening 2768 abstracts, 33 studies were extracted for more detailed evaluation, of which 20 (eight case series [7][8][9][10][11][12][13][14] and 12 case reports [15][16][17][18][19][20][21][22][23][24][25][26]) were identified. Astoundingly, considering the estimated annual incidence of peri-operative myocardial infarctions, this entire cohort consists of only 89 patients.…”

Section: Editorialmentioning

confidence: 99%

See 1 more Smart Citation

NICE guidance on CardioQTM oesophageal Doppler monitoring

Ghosh¹,

Arthur²,

Klein³

2011

Anaesthesia

151

View full text Add to dashboard Cite

Section: Editorialmentioning

confidence: 99%

“…The applicability of the therapeutic recommendations in any of these publications, therefore, has to be questioned [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26]. Case series and case reports lack two vital components necessary for making an informed decision.…”

Section: Editorialmentioning

confidence: 99%

NICE guidance on CardioQTM oesophageal Doppler monitoring

Ghosh¹,

Arthur²,

Klein³

2011

Anaesthesia

151

View full text Add to dashboard Cite

“…We systematically searched Pubmed up to May 2011 for studies reporting therapeutic interventions for peri‐operative myocardial infarction, using the terms ‘peri(‐)operative myocardial infarction’ and ‘treatment’, and extracted all studies that reported treatment modalities used in patients suffering peri‐operative myocardial infarction following non‐cardiac surgery. After screening 2768 abstracts, 33 studies were extracted for more detailed evaluation, of which 20 (eight case series [7–14] and 12 case reports [15–26]) were identified. Astoundingly, considering the estimated annual incidence of peri‐operative myocardial infarctions, this entire cohort consists of only 89 patients.…”

Section: Oxford 2011 Levels Of Evidence Concerning Peri‐operative Mymentioning

confidence: 99%

“…The applicability of the therapeutic recommendations in any of these publications, therefore, has to be questioned [7–26]. Case series and case reports lack two vital components necessary for making an informed decision.…”

Section: Oxford 2011 Levels Of Evidence Concerning Peri‐operative Mymentioning

confidence: 99%

Peri-operative myocardial infarction: time for therapeutic trials

Ryan¹,

Rodseth²,

Biccard³

2011

Anaesthesia

View full text Add to dashboard Cite

“…Lediglich anhand einer Kasuistik wurde auf die Bedeutung der Akut-PTCA beim perioperativen Infarkt hingewiesen [50]. Lediglich anhand einer Kasuistik wurde auf die Bedeutung der Akut-PTCA beim perioperativen Infarkt hingewiesen [50].…”

Section: Bedeutung Der Akut-ptca In Der Therapie Des Perioperativen Munclassified

Bedeutung der Akut-PTCA in der Therapie des perioperativen Myokardinfarkts

et al. 2000

View full text Add to dashboard Cite

The mortality of perioperative myocardial infarction is still high and according to recently published data amounts to 17 to 42%. In the seventies introduction of thrombolytic therapy has led to a dramatic reduction in mortality of non-perioperative myocardial infarction. However, in the perioperative situation thrombolytic therapy remains to be problematic in most cases because of expected severe bleeding complications. In the last 4-6 years acute-PTCA has been established in the therapy of acute myocardial infarction. Up to date no data are available concerning the effect of acute-PTCA on mortality of perioperative myocardial infarction. Nevertheless it can be assumed, that acute-PTCA will lead to a considerable reduction in mortality of perioperative myocardial infarction. Therefore, in patients with significant perioperative myocardial infarction immediate coronary angiography and, if indicated, acute-PTCA should be performed. In principle, thrombolytic therapy is considered to be contraindicated in the intra- or postoperative situation. However, if coronary angiography and PTCA are not possible, thrombolysis might be taken into consideration, in particular if the expected bleeding complications are small in relation to the expected benefit of thrombolysis. Since acute-PTCA has been shown to remarkably reduce mortality in patients with cardiogenic shock after acute myocardial infarction, this group of patients should be especially considered.

show abstract

Coronary Angioplasty Following Acute Perioperative Myocardial Infarction

Cited by 9 publications

References 0 publications

NICE guidance on CardioQTM oesophageal Doppler monitoring

NICE guidance on CardioQTM oesophageal Doppler monitoring

Peri-operative myocardial infarction: time for therapeutic trials

Bedeutung der Akut-PTCA in der Therapie des perioperativen Myokardinfarkts

Contact Info

Product

Resources

About