Perioperative acute myocardial infarction in patients after non-cardiac surgery in China

Abstract

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Critical values of monitoring indexes for perioperative major adverse cardiac events in elderly patients with biliary diseases

“…It occurs within the first 3 d after non-cardiac surgery, and up to 1/3 of patients have ST-segment elevation myocardial infarction (STEMI), with a mortality rate as high as 30% within 30 d of surgery[ 19 ]. It was recently reported[ 20 ] that the incidence of perioperative acute myocardial infarction in non-cardiac surgery patients aged 45 years and above was approximately 0.02%, which increased significantly with age, and mostly occurred within 48 h after surgery.…”

Critical values of monitoring indexes for perioperative major adverse cardiac events in elderly patients with biliary diseases

“…It occurs within the first 3 d after non-cardiac surgery, and up to 1/3 of patients have ST-segment elevation myocardial infarction (STEMI), with a mortality rate as high as 30% within 30 d of surgery[ 19 ]. It was recently reported[ 20 ] that the incidence of perioperative acute myocardial infarction in non-cardiac surgery patients aged 45 years and above was approximately 0.02%, which increased significantly with age, and mostly occurred within 48 h after surgery.…”

Perioperative Acute Myocardial Infarction and Ischemia After Noncardiac Surgery: Pathophysiology, Prevention, and Nursing Implications

“…In a study of older adult (mean age 69 years), predominantly male (65.8%) patients undergoing major vascular surgery, 1.6% experienced AMI within 30 days of surgery and 37.4% of the patients who sustained AMI died within one year 31 . In a similar study of patients aged 45 years or older undergoing a range of surgical procedures, the AMI incidence rate was 1.61 in 10,000, but the mortality rate for those who did sustain perioperative AMI was 75.6% 32 . The mortality rate for those who sustain perioperative AMI may be higher than the rate for medical patients who sustain AMI 28 …”

“…31 In a similar study of patients aged 45 years or older undergoing a range of surgical procedures, the AMI incidence rate was 1.61 in 10,000, but the mortality rate for those who did sustain perioperative AMI was 75.6%. 32 The mortality rate for those who sustain perioperative AMI may be higher than the rate for medical patients who sustain AMI. 28…”

“…Studies comparing the incidence of perioperative AMI and MINS by anesthesia type have failed to identify benefits for one anesthetic technique over another. 32,33 Current guidelines do not contain recommendations for type of anesthesia to prevent perioperative AMI and improve patient outcomes. 19 The use of a postoperative epidural block has been found to improve analgesia and decrease AMI risk, although it does not decrease inhospital death rates in patients who have undergone vascular and abdominal surgeries.…”

Preoperative Management of Cardiovascular Medications: A Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement

“…A second study suggested evidence of less ischemia with nitrate use. [69][70][71] We were unable to identify any studies investigating potential negative consequences of withholding nitrates before noncardiac surgery or large randomized controlled studies informing preoperative nitrodilator management. It seems reasonable to continue this class of medications in patients without significant hypotension given their role in patients with heart disease.…”

Critical values of monitoring indexes for perioperative major adverse cardiac events in elderly patients with biliary diseases

“…It occurs within the first 3 d after non-cardiac surgery, and up to 1/3 of patients have ST-segment elevation myocardial infarction (STEMI), with a mortality rate as high as 30% within 30 d of surgery[ 19 ]. It was recently reported[ 20 ] that the incidence of perioperative acute myocardial infarction in non-cardiac surgery patients aged 45 years and above was approximately 0.02%, which increased significantly with age, and mostly occurred within 48 h after surgery.…”

Perioperative Acute Myocardial Infarction and Ischemia After Noncardiac Surgery: Pathophysiology, Prevention, and Nursing Implications

“…In a study of older adult (mean age 69 years), predominantly male (65.8%) patients undergoing major vascular surgery, 1.6% experienced AMI within 30 days of surgery and 37.4% of the patients who sustained AMI died within one year 31 . In a similar study of patients aged 45 years or older undergoing a range of surgical procedures, the AMI incidence rate was 1.61 in 10,000, but the mortality rate for those who did sustain perioperative AMI was 75.6% 32 . The mortality rate for those who sustain perioperative AMI may be higher than the rate for medical patients who sustain AMI 28 …”

“…31 In a similar study of patients aged 45 years or older undergoing a range of surgical procedures, the AMI incidence rate was 1.61 in 10,000, but the mortality rate for those who did sustain perioperative AMI was 75.6%. 32 The mortality rate for those who sustain perioperative AMI may be higher than the rate for medical patients who sustain AMI. 28…”

“…Studies comparing the incidence of perioperative AMI and MINS by anesthesia type have failed to identify benefits for one anesthetic technique over another. 32,33 Current guidelines do not contain recommendations for type of anesthesia to prevent perioperative AMI and improve patient outcomes. 19 The use of a postoperative epidural block has been found to improve analgesia and decrease AMI risk, although it does not decrease inhospital death rates in patients who have undergone vascular and abdominal surgeries.…”

Preoperative Management of Cardiovascular Medications: A Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement

“…A second study suggested evidence of less ischemia with nitrate use. [69][70][71] We were unable to identify any studies investigating potential negative consequences of withholding nitrates before noncardiac surgery or large randomized controlled studies informing preoperative nitrodilator management. It seems reasonable to continue this class of medications in patients without significant hypotension given their role in patients with heart disease.…”

Critical values of monitoring indexes for perioperative major adverse cardiac events in elderly patients with biliary diseases

“…It occurs within the first 3 d after non-cardiac surgery, and up to 1/3 of patients have ST-segment elevation myocardial infarction (STEMI), with a mortality rate as high as 30% within 30 d of surgery[ 19 ]. It was recently reported[ 20 ] that the incidence of perioperative acute myocardial infarction in non-cardiac surgery patients aged 45 years and above was approximately 0.02%, which increased significantly with age, and mostly occurred within 48 h after surgery.…”

Perioperative Acute Myocardial Infarction and Ischemia After Noncardiac Surgery: Pathophysiology, Prevention, and Nursing Implications

“…In a study of older adult (mean age 69 years), predominantly male (65.8%) patients undergoing major vascular surgery, 1.6% experienced AMI within 30 days of surgery and 37.4% of the patients who sustained AMI died within one year 31 . In a similar study of patients aged 45 years or older undergoing a range of surgical procedures, the AMI incidence rate was 1.61 in 10,000, but the mortality rate for those who did sustain perioperative AMI was 75.6% 32 . The mortality rate for those who sustain perioperative AMI may be higher than the rate for medical patients who sustain AMI 28 …”

“…31 In a similar study of patients aged 45 years or older undergoing a range of surgical procedures, the AMI incidence rate was 1.61 in 10,000, but the mortality rate for those who did sustain perioperative AMI was 75.6%. 32 The mortality rate for those who sustain perioperative AMI may be higher than the rate for medical patients who sustain AMI. 28…”

“…Studies comparing the incidence of perioperative AMI and MINS by anesthesia type have failed to identify benefits for one anesthetic technique over another. 32,33 Current guidelines do not contain recommendations for type of anesthesia to prevent perioperative AMI and improve patient outcomes. 19 The use of a postoperative epidural block has been found to improve analgesia and decrease AMI risk, although it does not decrease inhospital death rates in patients who have undergone vascular and abdominal surgeries.…”

Preoperative Management of Cardiovascular Medications: A Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement

“…A second study suggested evidence of less ischemia with nitrate use. [69][70][71] We were unable to identify any studies investigating potential negative consequences of withholding nitrates before noncardiac surgery or large randomized controlled studies informing preoperative nitrodilator management. It seems reasonable to continue this class of medications in patients without significant hypotension given their role in patients with heart disease.…”