Perioperative Myocardial Infarction.
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Date
2014-01
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Abstract
Myocardial infarction (MI) is defined by the World Health Organization Criteria, which includes typical ischemic chest pain, ECG
criteria and raised cardiac enzymes. The perioperative period induces large, unpredictable and nonphysiological alterations in
coronary plaque morphology, function and progression, and may trigger a mismatch of myocardial oxygen supply and demand.
Perioperative MI (PMI) is one of the most important predictors of short- and long-term morbidity and mortality associated
with noncardiac surgery. Inability to fulfil the criteria, different symptomatology and numerous differential diagnoses makes
PMI our subject of detailed discussion.1
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Keywords
Perioperative myocardial infarction, plaque rupture, ischemia, risk stratification
Citation
Sharma Sudivya, Jain Prashast. Perioperative Myocardial Infarction. Indian Journal of Clinical Practice. 2014 Jan; 24(8): 746-749.