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The American surgeon · Aug 1992
Comparative StudyRisk factors for myocardial infarction after distal arterial reconstructive procedures.
- J R Cohen, B Cooper, and F Sardari.
- Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, NY 11042.
- Am Surg. 1992 Aug 1;58(8):478-83.
AbstractThis study identifies the preoperative, intraoperative, and postoperative factors associated with perioperative myocardial infarction (MI). The records of all patients who had distal vascular reconstructive procedures who sustained a perioperative MI were retrospectively reviewed from 1977 to 1990. From a total of 767 procedures, 18 (2.3%) patients suffered a MI. The mean time to MI after surgery was 1.8 days. Diabetes, heart murmur, and previous major amputations were identified as significant risk factors for the development of a perioperative MI. No laboratory or cardiographic data correlated with an increased risk, and the Goldman Index was inadequate in predicting perioperative MI risk.
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