Risk factors in patients undergoing major nonvascular abdominal operations that predict perioperative myocardial infarction

Tewodros M. Gedebou, Steven T. Barr, Glenn Hunter, Renu Sinha, William - Adamas-Rappaport, Kara VillaReal

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

BACKGROUND: Perioperative myocardial infarction (PMI) is an uncommon but serious complication of major abdominal surgery. Identifying the patients at risk may potentially reduce morbidity and mortality. In this study we determined risk factors associated with PMI in patients undergoing abdominal, nonvascular surgery (ANVS). METHODS: The utility of risk factors for PMI using Goldman's criteria and nine other variables were compared in patients diagnosed with PMI after ANVS (group I) and a control group (group II) matched for age, gender, and type of operation. RESULTS: Thirty-four patients, 21 men and 13 women, with a mean age of 70 years were diagnosed with PMI, which was associated with a 41% mortality rate (14 of 34). Risk factors for PMI included poor general condition, congestive heart failure, abnormal cardiac rhythm, smoking, previous myocardial infarction (MI), and emergent operation. CONCLUSION: Although PMI following ANVS is uncommon, the mortality rate remains high. Patients classified as Goldman's class III and IV, or with a history of cigarette smoking, previous MI, or angina merit further evaluation in order to reduce the incidence of this complication.

Original languageEnglish (US)
Pages (from-to)755-758
Number of pages4
JournalAmerican Journal of Surgery
Volume174
Issue number6
DOIs
StatePublished - Dec 1997

Fingerprint

Myocardial Infarction
Mortality
Smoking
Research Design
Heart Failure
Morbidity
Control Groups
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Risk factors in patients undergoing major nonvascular abdominal operations that predict perioperative myocardial infarction. / Gedebou, Tewodros M.; Barr, Steven T.; Hunter, Glenn; Sinha, Renu; Adamas-Rappaport, William -; VillaReal, Kara.

In: American Journal of Surgery, Vol. 174, No. 6, 12.1997, p. 755-758.

Research output: Contribution to journalArticle

Gedebou, Tewodros M. ; Barr, Steven T. ; Hunter, Glenn ; Sinha, Renu ; Adamas-Rappaport, William - ; VillaReal, Kara. / Risk factors in patients undergoing major nonvascular abdominal operations that predict perioperative myocardial infarction. In: American Journal of Surgery. 1997 ; Vol. 174, No. 6. pp. 755-758.
@article{8fd9ccefd6f84a18bf050337a5290804,
title = "Risk factors in patients undergoing major nonvascular abdominal operations that predict perioperative myocardial infarction",
abstract = "BACKGROUND: Perioperative myocardial infarction (PMI) is an uncommon but serious complication of major abdominal surgery. Identifying the patients at risk may potentially reduce morbidity and mortality. In this study we determined risk factors associated with PMI in patients undergoing abdominal, nonvascular surgery (ANVS). METHODS: The utility of risk factors for PMI using Goldman's criteria and nine other variables were compared in patients diagnosed with PMI after ANVS (group I) and a control group (group II) matched for age, gender, and type of operation. RESULTS: Thirty-four patients, 21 men and 13 women, with a mean age of 70 years were diagnosed with PMI, which was associated with a 41{\%} mortality rate (14 of 34). Risk factors for PMI included poor general condition, congestive heart failure, abnormal cardiac rhythm, smoking, previous myocardial infarction (MI), and emergent operation. CONCLUSION: Although PMI following ANVS is uncommon, the mortality rate remains high. Patients classified as Goldman's class III and IV, or with a history of cigarette smoking, previous MI, or angina merit further evaluation in order to reduce the incidence of this complication.",
author = "Gedebou, {Tewodros M.} and Barr, {Steven T.} and Glenn Hunter and Renu Sinha and Adamas-Rappaport, {William -} and Kara VillaReal",
year = "1997",
month = "12",
doi = "10.1016/S0002-9610(97)00200-6",
language = "English (US)",
volume = "174",
pages = "755--758",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - Risk factors in patients undergoing major nonvascular abdominal operations that predict perioperative myocardial infarction

AU - Gedebou, Tewodros M.

AU - Barr, Steven T.

AU - Hunter, Glenn

AU - Sinha, Renu

AU - Adamas-Rappaport, William -

AU - VillaReal, Kara

PY - 1997/12

Y1 - 1997/12

N2 - BACKGROUND: Perioperative myocardial infarction (PMI) is an uncommon but serious complication of major abdominal surgery. Identifying the patients at risk may potentially reduce morbidity and mortality. In this study we determined risk factors associated with PMI in patients undergoing abdominal, nonvascular surgery (ANVS). METHODS: The utility of risk factors for PMI using Goldman's criteria and nine other variables were compared in patients diagnosed with PMI after ANVS (group I) and a control group (group II) matched for age, gender, and type of operation. RESULTS: Thirty-four patients, 21 men and 13 women, with a mean age of 70 years were diagnosed with PMI, which was associated with a 41% mortality rate (14 of 34). Risk factors for PMI included poor general condition, congestive heart failure, abnormal cardiac rhythm, smoking, previous myocardial infarction (MI), and emergent operation. CONCLUSION: Although PMI following ANVS is uncommon, the mortality rate remains high. Patients classified as Goldman's class III and IV, or with a history of cigarette smoking, previous MI, or angina merit further evaluation in order to reduce the incidence of this complication.

AB - BACKGROUND: Perioperative myocardial infarction (PMI) is an uncommon but serious complication of major abdominal surgery. Identifying the patients at risk may potentially reduce morbidity and mortality. In this study we determined risk factors associated with PMI in patients undergoing abdominal, nonvascular surgery (ANVS). METHODS: The utility of risk factors for PMI using Goldman's criteria and nine other variables were compared in patients diagnosed with PMI after ANVS (group I) and a control group (group II) matched for age, gender, and type of operation. RESULTS: Thirty-four patients, 21 men and 13 women, with a mean age of 70 years were diagnosed with PMI, which was associated with a 41% mortality rate (14 of 34). Risk factors for PMI included poor general condition, congestive heart failure, abnormal cardiac rhythm, smoking, previous myocardial infarction (MI), and emergent operation. CONCLUSION: Although PMI following ANVS is uncommon, the mortality rate remains high. Patients classified as Goldman's class III and IV, or with a history of cigarette smoking, previous MI, or angina merit further evaluation in order to reduce the incidence of this complication.

UR - http://www.scopus.com/inward/record.url?scp=0031442901&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031442901&partnerID=8YFLogxK

U2 - 10.1016/S0002-9610(97)00200-6

DO - 10.1016/S0002-9610(97)00200-6

M3 - Article

C2 - 9409612

AN - SCOPUS:0031442901

VL - 174

SP - 755

EP - 758

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 6

ER -