This historical case series outlines the clinical presentation and course of postoperative myocardial infarction in 15 patients following major surgery.
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Does not support practice changes; leaves open the need for contemporary data on postoperative MI.
Myocardial infarction is an uncommon but challenging postoperative complication. A review of the clinical and autopsy data of 15 patients studied at Memorial Center was made in an attempt to evaluate the setting in which this complication developed, possible precipitating causes, the diagnostic aspects, as well as the course and treatment. It was hoped to ascertain the method in which this postoperative complication might best be anticipated, prevented, and treated. MATERIAL AND METHODS The electrocardiographic tracings obtained during the period from January, 1948, to December, 1951, were reviewed, and those showing unequivocal evidence of acute myocardial infarction due to coronary occlusion following major surgical procedures were selected. The clinical charts of the patients whose electrocardiograms had been selected were studied. In addition, a survey of the postmorten protocols for the same period was made, and the clinical charts of the patients who, at necropsy, showed recent myocardial infarction with coronary
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Felix Wröblewski (1952) studied this question.
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