Why the study?
Does prospective management with optimization and invasive monitoring reduce perioperative reinfarction in patients with prior myocardial infarction?
Population
1,097 patients with previous myocardial infarction undergoing anesthesia
Comparison
Prospective management involving preoperative… vs Retrospective management (1973-1976)
Design
Cohort
Follow-up
perioperative
Authors
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Associated with lower reinfarction in prior MI; leaves open whether optimization and monitoring confer causal benefit.
Does prospective management with optimization and invasive monitoring reduce perioperative reinfarction in patients with prior myocardial infarction?
Prospective management with preoperative optimization and aggressive invasive monitoring is associated with a significantly decreased rate of perioperative reinfarction in patients with prior myocardial infarction.
Rao et al. (1983) studied this question.
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