Centrala begrepp
Management of acute postoperative myocardial ischemia is crucial for good clinical outcomes after cardiac surgery.
Sammanfattning
The American Heart Association (AHA) released a scientific statement outlining considerations for managing acute postoperative myocardial ischemia (PMI) after cardiac surgery. Key points include:
- Acute PMI is a potentially life-threatening complication post-cardiac surgery.
- Incidence rates of postoperative myocardial infarction vary based on the type of surgery.
- Short-term mortality rates are elevated among patients with acute PMI.
- Prompt diagnosis and treatment are crucial for a good clinical outcome.
- Urgent angiography is recommended for patients with suspected acute PMI.
- Fast and effective reperfusion of the ischemic zone is essential for a positive outcome.
- The statement was prepared by a volunteer writing group on behalf of the AHA Council on Cardiovascular Surgery and Anesthesia, Council on Clinical Cardiology, Council on Cardiovascular and Stroke Nursing, and Stroke Council.
Statistik
Data show that the incidence of postoperative myocardial infarction after cardiac surgery ranges from 0.3% to 9.8% after isolated coronary artery bypass graft (CABG) surgery and 0.7% to 11.8% after concomitant valvular surgery.
For isolated mitral valve surgery, incidence ranges from 1.7% to 2.2%.
Reported mortality rates for patients with acute PMI range from 5.1% to 24%.
Citat
"Timely diagnosis and treatment are key to a good clinical outcome."
"Fast and effective reperfusion of the ischemic zone is the key to a good clinical outcome."