What is the clinical evidence from this study?

Study design: Review. Population: Perioperative Myocardial Infarction.

What question did this study set out to answer?

To review the incidence, underlying pathophysiological mechanisms, and clinical considerations of perioperative myocardial ischaemia and infarction in surgical populations.

October 15, 2015Journal of Evolution of Medical and Dental SciencesOpen Access

Perioperative Myocardial Infraction

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Key result

Perioperative myocardial ischemia and infarction is a major cause of morbidity and mortality in the surgical population, requiring careful preoperative risk stratification and management.

Population

Patients undergoing non-cardiac surgery at risk for perioperative myocardial ischemia and infarction

Design

Review

Authors

RGRavindra S. Giri GAG M Ajay NTN Thyagaraju

Discussion

Member takes

Implication

Emphasizes preoperative risk stratification in non-cardiac surgery; leaves open optimal contemporary strategies.

Key Points

To review the incidence, underlying pathophysiological mechanisms, and clinical considerations of perioperative myocardial ischaemia and infarction in surgical populations.
Narrative synthesis of clinical evidence evaluating perioperative cardiac morbidity, ischemic injury mechanisms, and timing of ischemic episodes.
Evaluation of risk factors in elderly patients and individuals with previous coronary revascularization undergoing elective or emergency non-cardiac surgery.
Cardiac complications account for more than 50% of postoperative mortalities, with over 50,000 surgical patients developing perioperative myocardial infarction annually.
Patients diagnosed with or at high risk for coronary artery disease experience a perioperative myocardial ischaemia incidence ranging from 20% to 63%.
Postoperative myocardial ischaemia occurs significantly more frequently than preoperative and intraoperative events, displaying event ratios of approximately 3:1 and 5:1, respectively.

Structured PICO

Population

Patients undergoing non-cardiac surgery at risk for perioperative myocardial ischemia and infarction

This review summarizes the pathophysiology, diagnosis, risk stratification, and perioperative management of myocardial ischemia and infarction in patients undergoing non-cardiac surgery.

Cite This Study

Giri et al. (2015) conducted a review in Perioperative Myocardial Infarction. Perioperative myocardial ischemia and infarction is a major cause of morbidity and mortality in the surgical population, requiring careful preoperative risk stratification and management.

synapsesocial.com/papers/6a8db82973c53b5e867aae8a https://doi.org/10.14260/jemds/2015/2073

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Perioperative Myocardial Infraction

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Perioperative Myocardial Infraction

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider