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March 30, 1961New England Journal of Medicine

Clinically Unrecognized Myocardial Infarction Following Surgery

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Why the study?

Does the electrocardiogram provide the most reliable evidence of acute myocardial infarction in postoperative patients compared to clinical symptoms and serum enzymes?

Population

Patients in the postoperative period at risk for myocardial infarction

Comparison

Electrocardiogram (ECG) vs Clinical symptoms, objective findings, and serum…

Design

Review

Authors

ADAnne C. DriscollTufts UniversityJHJohn H. HobikaTufts UniversityBEBenjamin E. EtstenTufts University

Discussion

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Implication

May warrant routine postoperative ECG for MI detection when symptoms and enzymes are unreliable; hypothesis-generating and requires prospective validation.

Structured PICO

Does the electrocardiogram provide the most reliable evidence of acute myocardial infarction in postoperative patients compared to clinical symptoms and serum enzymes?

P
Population
Patients in the postoperative period at risk for myocardial infarction
I
Intervention
Electrocardiogram (ECG)
C
Comparator
Clinical symptoms, objective findings (fever, white-cell count, sedimentation rate), and serum enzymes (SGOT, LDH)
O
Outcome
Diagnosis of acute myocardial infarction

Electrocardiography is crucial for diagnosing postoperative myocardial infarction, as clinical symptoms and traditional serum enzymes are often obscured or unreliable following surgical trauma.

Cite This Study

Driscoll et al. (1961) studied this question.

synapsesocial.com/papers/6a892757ee464431431fedcahttps://doi.org/10.1056/nejm196103302641302
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Misinterpretation of Electrocardiograms with Postprandial T-Wave Inversion1954 · 39 citations
  2. 2MYOCARDIAL INFARCTION AS A POSTOPERATIVE COMPLICATION OF MAJOR SURGERY1952 · 56 citations
  3. 3Postoperative Myocardial Infarction1955 · 39 citations
  4. 4Electrocardiographic and Blood-Pressure Changes during and after Biliary-Tract Surgery1956 · 22 citations
  5. 5Chest Pain with Inverted T Waves, Predominantly in Precordial Leads, as the Only Electrocardiographic Abnormality1957 · 22 citations