Acute myocardial infarction in patient without cardiac risk factors during general anesthesia

  • Trần Đắc Tiệp Bệnh viện Quân y 103
  • Nguyễn Đăng Thứ Bệnh viện Quân y 103
  • Trần Hoài Nam Bệnh viện Quân y 103
  • Lâm Ngọc Tú Bệnh viện Quân y 103
  • Lê Hữu Trí Bệnh viện Quân y 103

Main Article Content

Keywords

Perioperative myocardial infarction, non cardiac risk factors, general anesthesia

Abstract

 Perioperative major cardiac complications such as myocardial ischemia is rare but is associated with very high mortality and morbidity. Perioperative myocardial infarction (PMI) often occur in patients with risk factors after high-risk surgery. The patient described here suffered acute myocardial infarction (AMI) without any cardiac risk factors during the emergence from general anesthesia after a low-risk surgery. Close monitoring of the hemodynamic parameters and the ST segment is mandatory requirement for recognizing such complication. Quick decision making is necessary for rapid diagnosis and treatment to increase the chance of survival.

Article Details

References

1. Murathan Küçük, Necmettin Korucuk, Veysel Tosun et al (2018) Acute myocardial infarction associated with the induction of general anesthesia. The European Research Journal.
2. Priebe HJ (2005) Perioperative myocardial infarction-aetiology and prevention. BJA: British Journal of Anaesthesia 95(1): 3-19
https://doi.org/10.1093/bja/aei063.
3. Jayashree P, Pankaj P (2014) Intraoperative acute coronary syndrome in a patient during laprotomy. Journal of Dr. NTR University of Health Sciences 3(1): 63-65.
http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2014;volume=3;issue=1;spage=63;epage=65;aulast=Patki.
4. Lee TH, Marcantonio ER, Mangione CM et al (1999) Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 100(10): 1043-1049.
5. Landesberg G, Beattie WS, Mosseri M et al (2009) Perioperative myocardial infarction. Circulation 119(22): 2936-2944.
6. Thygesen K, Alpert JS, Jaff AS et al (2012) Third universal definition of myocardial infarction. Eur Heart J 33(20): 2551-2567.
7. Kristensen SD, Knuuti J, Saraste A et al (2014) 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management: The Joint Task Force on non-cardiac surgery: Cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA). Eur Heart J 35(35): 2383-2431.
8. Reddy K, Khaliq A, Henning RJ (2015) Recent advances in the diagnosis and treatment of acute myocardial infarction. World J Cardiol 7(5): 243-276.
9. Devereaux PJ, Sessler DI (2015) Cardiac complications in patients undergoing major noncardiac surgery. N Engl J Med 373(23): 2258-2269.
10. Sellers D, Srinivas C, Djaiani G (2018) Cardiovascular complications after non-cardiac surgery. Anaesthesia 73(1): 34-42.