Risk factors for myocardial infarction after distal arterial reconstructive procedures.
This 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.
Cohen
J R
JR
Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, NY 11042.
Cooper
B
B
Sardari
F
F
D000367:Age Factors; D001158:Arteries / Q000601:surgery; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology* / Q000209:etiology; D007866:Leg / Q000098:blood supply / Q000601:surgery*; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000209:etiology; D009518:New York / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors