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Postoperative Myocardial Infarction

  • Chapter
Surgical Intensive Care Medicine

Abstract

Postoperative myocardial infarction (PMI) was first described in 1952. Approximately, 7–8 million noncardiac surgical patients are at the risk of cardiac morbidity or mortality annually. The reported incidence of PMI in the literature varies between 0.0 and 0.7%, and is as high as 37% in patients who have surgery within 3 months of a myocardial infarction (MI). Approximately, 50,000 patients annually have a PMI, of which 20,000 are fatal. 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 noncardiac group, and within the noncardiac group there appears to be varying degrees of risk depending on many factors, including the type of surgical procedure. One undisputed fact is the existence of certain patient populations with increased risk of PMI. The following discussion focuses predominantly on PMI in the noncardiac surgical population.

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Authors and Affiliations

  1. Department of Anesthesia, North Shore Medical Center, Salem, MA, USA

    Glynne D. Stanley (Chairman)

  2. Department of Anesthesiology, Boston University, Boston, MA, USA

    Sundara K. Rengasamy (Cardio Thoracic and Vascular Anesthesiologist)

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  1. Glynne D. Stanley
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  2. Sundara K. Rengasamy
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Editors and Affiliations

  1. Department of Surgical Critical Care Division of Surgery, The Lahey Clinic Medical Center, Burlington, MA, USA

    John M. O’Donnell (Director, Surgical Intensive Care Unit Chairman) (Director, Surgical Intensive Care Unit Chairman)

  2. University Hospital Intensive Care Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

    Flávio E. Nácul

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Stanley, G.D., Rengasamy, S.K. (2010). Postoperative Myocardial Infarction. In: O’Donnell, J.M., Nácul, F.E. (eds) Surgical Intensive Care Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-77893-8_20

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