BACKGROUND AND AIMS Myocardial infarction after coronary artery bypass grafting is a serious complication and one of the most common causes of perioperative morbidity and mortality. The present study was designed to determine the relevance of serum cardiac troponin I as a specific diagnostic marker for perioperative myocardial infarction. METHODS A cohort of 64 patients undergoing coronary ar...

From the Seattle Heart Watch angiography registry, the baseline characteristics and late survival of 77 patients who sustained operative infarction (new Q waves) with myocardial revascularization were compared with 1790 patients who underwent coronary artery bypass without perioperative infarction. With the exception of coronary collateral vessels, which were less frequently seen in the patient...

PURPOSE OF REVIEW This review evaluates clinical and experimental articles that have recently been published on the cardioprotective effect of perioperative statin therapy. RECENT FINDINGS Perioperative statin therapy improves short and long-term cardiac outcome following noncardiac surgery. This cardiovascular protection has been attributed to the so-called pleiotropic effects, which have a ...

From the Seattle Heart Watch angiography registry, the baseline characteristics and late survival of 77 patients who sustained operative infarction (new Q waves) with myocardial revascularization were compared with 1790 patients who underwent coronary artery bypass without perioperative infarction. With the exception of coronary collateral vessels, which were less frequently seen in the patient...

The clinical significance of perioperative myocardial infarction (MI) after coronary artery bypass surgery is not known. Therefore, strategies for the risk stratification of these patients do not exist. This study was undertaken to define the effect of perioperative MI on prognosis after discharge from the hospital and to develop an approach to the risk stratification of these patients. Fifty-n...

In Germany, preoperative coagulation tests are commonly used, based on the belief that these tests should identify patients with an increased bleeding risk. However, published evidence does not longer support this approach for both traditional screening tests and novel techniques of global assessment of haemostasis. Unselected screening yields many false positive results and detects irrelevant ...

The perioperative care process is a unique and challenging environment. Perioperative clinicians are increasingly focused on how to improve patient safety. Proven software design approaches and standards are available. If they are focused on the challenges in the perioperative environment, they can be an important catalyst to transform surgical care. Opportunities abound for informatics-based i...