ArticleThe Canadian journal of cardiology2021
Cardiovascular Risk Factors and Perioperative Myocardial Infarction After Noncardiac Surgery.
Article in The Canadian journal of cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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17 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Invasive dental treatment and acute vascular events: A systematic review and meta-analysis.Journal of clinical periodontology · 2022Pooled it
- Incidence and Associated Factors of ST-Segment Changes in Noncardiac Surgery Under General Anesthesia.Annals of cardiac anaesthesia · 2026Observational
- Prevalence and prognostic relevance of perioperative myocardial injury/infarction after major noncardiac surgery in older patients.Age and ageing · 2026Observational
- Racial and Ethnic Disparities in Major Cardiovascular Events Following Non-Cardiovascular Surgeries.Journal of racial and ethnic health disparities · 2026Article
- Impact of partial hepatectomy versus other major abdominal surgeries on postoperative myocardial injury: a propensity score-matched analysis.BMC gastroenterology · 2026Article
- The revised cardiac risk index and 90-day mortality after non-cardiac surgery: a retrospective cohort study.Frontiers in cardiovascular medicine · 2026Article
- Predicting postoperative complications after pneumonectomy using machine learning: a 10-year study.Annals of medicine · 2025Article
- Patient cases with malignant otitis externa at the university clinic of Ludwig Maximilians University Munich from 2009 until 2020.Scientific reports · 2025Article
- Smoking, Colchicine and Postoperative Outcomes in Thoracic Surgery: Post Hoc Analysis of the COP-AF Randomized Controlled Trial.CJC open · 2025Article
- Preoperative Diagnostic Assessment of Patients with Cardiovascular Risk Factors Undergoing Noncardiac Surgery: A 2025 Update.Methodist DeBakey cardiovascular journal · 2025Review
- Perioperative Mortality: A Retrospective Cohort Study of 75,446 Noncardiac Surgery Patients.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024Article
- Neoadjuvant therapy bridging percutaneous coronary intervention (PCI) and video-assisted thoracoscopic (VATS) lobectomy: a retrospective study.Translational cancer research · 2024Article
- Addition of High-Sensitivity Troponin to Perioperative Risk Assessment Improves the Predictive Ability of Death in Non-Cardiac Surgery Patients.Arquivos brasileiros de cardiologia · 2024Article
- Predictive characteristics and model development for acute heart failure preceding hip fracture surgery in elderly hypertensive patients: a retrospective machine learning approach.BMC geriatrics · 2024Article
- Silent Myocardial Ischemia: From Pathophysiology to Diagnosis and Treatment.Biomedicines · 2024Review
- Smoking Cessation for Preoperative Optimization.Clinics in colon and rectal surgery · 2023Review
- Risk Factors for Perioperative Myocardial Infarction/Injury and Mortality Following Surgical Treatment of Proximal Femur Fractures: A Cohort Study.JB & JS open accessArticle
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5 authors at 2 institutions in 1 country.
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Abstract
backgroundPerioperative cardiovascular events are a leading cause of morbidity and mortality after noncardiac surgery. We propose a simplified method for perioperative risk stratification.
methodsIn a retrospective cohort study we identified patients who underwent noncardiac surgery between 2009 and 2015 in the US National Surgical Quality Improvement Program. Multivariable logistic regression models adjusted for age, sex, race, and surgery type were generated to estimate the effect of traditional cardiovascular risk factors (hypertension, diabetes mellitus, current smoking) on odds of perioperative myocardial infarction (MI). Time to event analysis was conducted using competing risk analysis, with MI as the outcome event and death as the competing risk.
resultsA total of 3,848,501 noncardiac surgeries were identified. Postoperative MI occurred in 0.37% of patients and 1.04% of patients died. The 30-day event rate of perioperative MI increased in a stepwise fashion with additional risk factors (0.42% for 1, 0.82% for 2, and 1.08% for 3; P for trend < 0.001) after accounting for the competing risk of death. Compared with those with no risk factors, patients with 1, 2, and 3 risk factors had increased odds of MI (adjusted odds ratio [aOR], 2.07 [95% confidence interval (CI), 1.96-2.19]; aOR, 3.63 [95% CI, 3.43-3.85]; and aOR, 5.54 [95% CI, 5.09-6.04], respectively). Perioperative MI was rare (0.10%) in patients without risk factors.
conclusionsPatients with cardiovascular risk factors are at increased risk of perioperative MI, those without risk factors are at low risk. Further evaluation is needed to determine the effect of a simplified risk score in the perioperative setting.
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