oa Southern African Journal of Anaesthesia and Analgesia - Peri-operative myocardial infarction : anaesthesia for vascular surgery

Abstract

Patients with, or at risk for, cardiac disease have a 3,9% (95% confidence interval (CI) 3,3% - 4,6%) chance of suffering a major peri-operative cardiac event. This is associated with a significant in-hospital mortality of 15 - 25%, and subsequent cardiovascular death or myocardial infarction at 6 months (hazard ratio 18; 95%CI 6 - 57).

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This paper focuses on our understanding of the pathophysiology of peri-operative myocardial infarction, the flaws associated with the proposed definition of peri-operative myocardial infarction, and the management of peri-operative myocardial infarction.