title: High morbidity in myocardial infarction and heart failure patients after gastric cancer surgery.
abstract: OBJECTIVE
  To evaluate to morbidity and mortality differences between 4 underlying heart diseases, myocardial infarction (MI), angina pectoris (Angina), heart failure (HF), and atrial fibrillation (AF), after radical surgery for gastric cancer.
  
  
  METHODS
  We retrospectively collected data from 221 patients of a total of 15167 patients who underwent radical gastrectomy and were preoperatively diagnosed with a history of Angina, MI, HF, or AF in 8 hospitals.
  
  
  RESULTS
  We find that the total morbidity rate is significantly higher in the MI group (44%) than the Angina (15.7%), AF (18.8%), and HF (23.1%) groups (P < 0.01). Moreover, we note that the risk for postoperative cardiac problems is higher in patients with a history of HF (23.1%) than patients with a history of Angina (2.2%), AF (4.3%), or MI (6%; P = 0.01). The HF and MI groups each have 1 case of cardiogenic mortality.
  
  
  CONCLUSIONS
  We conclude that MI patients have a higher risk of morbidity, and HF patients have a higher risk of postoperative cardiac problems than Angina or AF.
authors.affiliation: Sang-Ho Jeong, Young-Joon Lee, Department of Surgery, Gyengsang National University, Jinju 660-702, South Korea.
authors.forename: Sang-Ho
authors.initials: SH
authors.lastname: Jeong
authors.affiliation: Sang-Ho Jeong, Young-Joon Lee, Department of Surgery, Gyengsang National University, Jinju 660-702, South Korea.
authors.forename: Young-Woo
authors.initials: YW
authors.lastname: Kim
authors.affiliation: Sang-Ho Jeong, Young-Joon Lee, Department of Surgery, Gyengsang National University, Jinju 660-702, South Korea.
authors.forename: Wansik
authors.initials: W
authors.lastname: Yu
authors.affiliation: Sang-Ho Jeong, Young-Joon Lee, Department of Surgery, Gyengsang National University, Jinju 660-702, South Korea.
authors.forename: Sang Ho
authors.initials: SH
authors.lastname: Lee
authors.affiliation: Sang-Ho Jeong, Young-Joon Lee, Department of Surgery, Gyengsang National University, Jinju 660-702, South Korea.
authors.forename: Young Kyu
authors.initials: YK
authors.lastname: Park
authors.affiliation: Sang-Ho Jeong, Young-Joon Lee, Department of Surgery, Gyengsang National University, Jinju 660-702, South Korea.
authors.forename: Seong-Heum
authors.initials: SH
authors.lastname: Park
authors.affiliation: Sang-Ho Jeong, Young-Joon Lee, Department of Surgery, Gyengsang National University, Jinju 660-702, South Korea.
authors.forename: In Ho
authors.initials: IH
authors.lastname: Jeong
authors.affiliation: Sang-Ho Jeong, Young-Joon Lee, Department of Surgery, Gyengsang National University, Jinju 660-702, South Korea.
authors.forename: Sang Eok
authors.initials: SE
authors.lastname: Lee
authors.affiliation: Sang-Ho Jeong, Young-Joon Lee, Department of Surgery, Gyengsang National University, Jinju 660-702, South Korea.
authors.forename: Yongwhi
authors.initials: Y
authors.lastname: Park
authors.affiliation: Sang-Ho Jeong, Young-Joon Lee, Department of Surgery, Gyengsang National University, Jinju 660-702, South Korea.
authors.forename: Young-Joon
authors.initials: YJ
authors.lastname: Lee
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000175:diagnosis / Q000453:epidemiology; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000453:epidemiology; D015897:Comorbidity; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects* / Q000401:mortality; D006333:Heart Failure / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality; D011183:Postoperative Complications / Q000453:epidemiology; D056910:Republic of Korea / Q000453:epidemiology; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D016896:Treatment Outcome
keywords: Comorbidity; Heart disease; Heart failure; Morbidity; Stomach neoplasm