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 language | English (US) |
|---|---|
| Pages (from-to) | 755-758 |
| Number of pages | 4 |
| Journal | American Journal of Surgery |
| Volume | 174 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 1997 |
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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 journal › Article
}
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 -