Coronary angiography and failure to rescue after postoperative myocardial infarction in patients with coronary stents undergoing noncardiac surgery
作者: Robert H. HollisCarla N. HolcombJavier A. ValleBurke P. SmithAerin J. DeRussyLaura A. GrahamJoshua S. RichmanKamal M.F. ItaniThomas M. MaddoxMary T. Hawn
作者单位: 1Center for Surgical, Medical Acute Care Research and Transitions (C-SMART), Department of Surgery, Birmingham Veterans Administration Hospital, University of Alabama at Birmingham, Birmingham, AL, USA
2Department of Medicine, VA Eastern Colorado Health Care System, Denver, CO, USA
3Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA
4Department of Surgery, VA Boston Health Care System, Boston University and Harvard Medical School, Boston, MA, USA
5Department of Surgery, VA Palo Alto Health Care System, Stanford University, Palo Alto, CA, USA
刊名: The American Journal of Surgery, 2016, Vol.212 (5), pp.814-822.e1
来源数据库: Elsevier Journal
DOI: 10.1016/j.amjsurg.2016.07.023
关键词: Postoperative myocardial infarctionCoronary stentCoronary angiographyPostoperative mortalityFailure to rescueCardiac risk index
英文摘要: Abstract(#br)Background(#br)We evaluated coronary angiography use among patients with coronary stents suffering postoperative myocardial infarction (MI) and the association with mortality.(#br)Methods(#br)Patients with prior coronary stenting who underwent inpatient noncardiac surgery in Veterans Affairs hospitals between 2000 and 2012 and experienced postoperative MI were identified. Predictors of 30-day post-MI mortality were evaluated.(#br)Results(#br)Following 12,096 operations, 353 (2.9%) patients had postoperative MI and 58 (16.4%) died. Post-MI coronary angiography was performed in 103 (29.2%) patients. Coronary angiography was not associated with 30-day mortality (odds ratio [OR]: .70, 95% CI: .35–1.42). Instead, 30-day mortality was predicted by revised cardiac risk index ≥3 (OR...
全文获取路径: Elsevier  (合作)
影响因子:2.516 (2012)

  • infarction 梗塞
  • myocardial 心肌的
  • angiography 血管照相术
  • postoperative 手术后的
  • coronary 冠状的
  • rescue 营救
  • failure 破坏
  • after 在之后
  • surgery 外科