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Evidence-Based Cardiology Consult pp 507–512Cite as

Perioperative Myocardial Infarction

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Abstract

The proportion of elderly patients with significant cardiac comorbidities undergoing noncardiac operations is likely to increase in the future. A perioperative myocardial infarction is associated with high in-hospital mortality and poor long-term outcomes. The majority of these events are clinically and electrocardiographically silent requiring active surveillance with cardiac biomarkers (preferably troponins).

Most myocardial infarctions in the perioperative period result from a mismatch between oxygen supply and demand in patients with stable coronary artery disease. Most of the research in the field has been focused on risk stratification and prevention prior to the noncardiac operation with little emphasis in best treatment strategies after the event has occurred. Clinical trials are needed to define the role of adjunct pharmacology and cardiac imaging, including angiography, in this special population.

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Authors and Affiliations

  1. Department of Cardiology, University of Minnesota/Minneapolis VA Healthcare System, One Veterans Drive (111-C), Minneapolis, MN, 55417, USA

    Santiago Garcia MD, FACC, FSCAI & Edward O. McFalls MD, PhD

Authors
  1. Santiago Garcia MD, FACC, FSCAI
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  2. Edward O. McFalls MD, PhD
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Corresponding author

Correspondence to Santiago Garcia MD, FACC, FSCAI .

Editor information

Editors and Affiliations

  1. Division of Cardiology, Department of Medicine,, Stony Brook University, School of Medicine,, Stony Brook, USA

    Kathleen Stergiopoulos

  2. Division of Cardiology, Stony Brook University, Stony Brook, New York, USA

    David L. Brown

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© 2014 Springer-Verlag London

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Garcia, S., McFalls, E.O. (2014). Perioperative Myocardial Infarction. In: Stergiopoulos, K., Brown, D. (eds) Evidence-Based Cardiology Consult. Springer, London. https://doi.org/10.1007/978-1-4471-4441-0_36

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  • DOI: https://doi.org/10.1007/978-1-4471-4441-0_36

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4440-3

  • Online ISBN: 978-1-4471-4441-0

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