Why the study?
What is the dominant etiology of acute coronary syndrome occurring after noncardiac surgery?
Population
Adult patients who underwent coronary angiography for acute coronary syndrome within 30 days of noncardiac…
Design
Cohort, Angiograms independently reviewed by two interventional cardiologists…
Follow-up
1 year
Authors
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Suggests demand ischemia drives most perioperative ACS; hypothesis-generating for etiology-specific trials.
What is the dominant etiology of acute coronary syndrome occurring after noncardiac surgery?
The dominant mechanism of perioperative acute coronary syndrome after noncardiac surgery is demand ischemia (type 2 MI) rather than acute plaque rupture.
Helwani et al. (2018) studied this question.
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