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Postoperative Myocardial Infarction

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Surgical Intensive Care Medicine

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Abstract

Postoperative myocardial infarction (PMI) was first described in 1952 (1). Approximately 7 to 8 million noncardiac surgical patients are at risk for cardiac morbidity or mortality annually (2). The reported incidence of PMI in the literature varies between 0.0 and 0.7% (2) and is as high as 37% in patients who have surgery within 3 months of a myocardial infarction (MI) (3). Approximately 50,000 patients annually have a PMI and 20,000 are fatal (2). There is now a better understanding of the factors that lead to the development of PMI, but many areas of controversy remain. The relationship between perioperative ischemia and PMI is uncertain. The factors leading to PMI in a cardiac surgical population may be different from the non-cardiac group, and within the non-cardiac group there appear to be varying degrees of risk depending on many factors, including the type of surgical procedure (3–10). One undisputed fact is the existence of certain patient populations at increased risk of PMI (11). The following discussion focuses predominantly on PMI in the non-cardiac surgical population.

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Authors and Affiliations

  1. Boston University School of Medicine, Boston, MA, 02118, USA

    Glynne D. Stanley M.B.Ch.B., F.R.C.A. & R. Sundarakumaran M.B., B.S.

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  1. Glynne D. Stanley M.B.Ch.B., F.R.C.A.
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  2. R. Sundarakumaran M.B., B.S.
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Editors and Affiliations

  1. Surgical Intensive Care Unit, Department of Surgical Critical Care, Lahey Clinic Medical Center, Burlington, MA, USA

    John Merritt O’Donnell M.D. (Director, Chairman) (Director, Chairman)

  2. Department of Surgical Critical Care, Lahey Clinic Medical Center, Burlington, MA, USA

    Flávio Eduardo Nácul M.D. (Senior Fellow) (Senior Fellow)

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Stanley, G.D., Sundarakumaran, R. (2001). Postoperative Myocardial Infarction. In: O’Donnell, J.M., Nácul, F.E. (eds) Surgical Intensive Care Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-6645-5_17

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