title: Risk factors for myocardial infarction after distal arterial reconstructive procedures.
abstract: 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.
authors.affiliation: Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, NY 11042.
authors.forename: J R
authors.initials: JR
authors.lastname: Cohen
authors.forename: B
authors.initials: B
authors.lastname: Cooper
authors.forename: F
authors.initials: F
authors.lastname: Sardari
mesh_terms: 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