Key result
Perioperative MI affects ~6% of non-cardiac surgery patients, linked to high-risk procedures, smoking, and prior IHD.
Why the study?
Perioperative myocardial infarction (PMI) causes significant morbidity and mortality in patients undergoing non-cardiac surgery, but its incidence and predictors require further study.
Observational (n=525)
No
Perioperative myocardial infarction occurs in approximately 6% of patients undergoing non-cardiac surgery and is associated with high 30-day mortality, with risk accurately predicted by the Revised Cardiac Risk Index (RCRI).
Supports RCRI for preoperative PMI risk stratification in noncardiac surgery; leaves open whether targeted interventions reduce incidence or mortality.
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Sunny et al. (2017) conducted an observational in Non-cardiac surgery (n=525). Non-cardiac surgery was evaluated on Perioperative myocardial infarction (PMI). Among patients undergoing non-cardiac surgery, the incidence of perioperative myocardial infarction was 6.28%, with high-risk surgery, smoking, and prior ischemic heart disease acting as predictors.
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