Perioperative myocardial infarction after noncardiac surgery
- PJ Devereaux, MD, PhD
PJ Devereaux, MD, PhD
- Associate Professor of Medicine, Division of Cardiology
- McMaster University
- Section Editors
- Scott Solomon, MD
Scott Solomon, MD
- Section Editor — Coronary Heart Disease
- Professor of Medicine
- Harvard Medical School
- Emile R Mohler III, MD
Emile R Mohler III, MD
- Section Editor — Vascular Medicine
- Professor of Medicine
- University of Pennsylvania School of Medicine
- Jeroen J Bax, MD, PhD
Jeroen J Bax, MD, PhD
- Section Editor — Noninvasive Cardiac Imaging and Stress Testing
- Professor of Cardiology
- Leiden University Medical Center, The Netherlands
- Allan S Jaffe, MD
Allan S Jaffe, MD
- Section Editor — Coronary Heart Disease
- Professor of Medicine
- Mayo Medical School
Cardiac complications of death, nonfatal myocardial infarction (MI), heart failure, or ventricular tachycardia occur in up to 5 percent of patients 45 years of age or older undergoing in-hospital noncardiac surgery. Of these, perioperative MI is the most common. Patients at risk for these complications, including MI, can be identified with validated risk indices used at the time of the preoperative evaluation. (See "Evaluation of cardiac risk prior to noncardiac surgery".)
This topic will focus on the identification and management of patients with perioperative MI. Related topics include:
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- Myocardial injury after noncardiac surgery
- CLINICAL PRESENTATION
- DIFFERENTIAL DIAGNOSIS
- Role of BNP
- Recommendations of others
- PROGNOSIS AFTER MI
- ST-elevation MI
- Non-ST elevation MI
- MINS patients
- SUMMARY AND RECOMMENDATIONS