Risk of Post-TKA Acute Myocardial Infarction in Patients With a History of Myocardial Infarction or Coronary Stent

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• 作者：Atul Kumar MBBS ; DRE ; Wen-Chen Tsai DrPH…
• 刊名：Clinical Orthopaedics and Related Research?
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：474
• 期：2
• 页码：479-486
• 全文大小：432 KB
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• 作者单位：Atul Kumar MBBS, DRE (1) (2)
  Wen-Chen Tsai DrPH (5)
  Tai-Sheng Tan MD (1)
  Li-Ting Chiu MHA (5)
  Pei-Tseng Kung ScD (4)
  Ching-Kan Lo MD (3)
  Ming-Chou Ku MD (3)
  
  1. Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan, Republic of China
  2. IRCAD-Taiwan, Changhua, Taiwan, Republic of China
  5. China Medical University, Taichung, Taiwan, Republic of China
  4. Asia University, Taichung, Taiwan, Republic of China
  3. Show Chwan Memorial Hospital, 542, Sec 1 Chung-shan Road, Changhua County, 505, Taiwan, Republic of China
  
• 刊物主题：Orthopedics; Surgical Orthopedics; Medicine/Public Health, general; Surgery; Sports Medicine; Conservative Orthopedics;
• 出版者：Springer US
• ISSN：1528-1132

文摘

Background Acute myocardial infarction (AMI) is one of the most important perioperative complications of total knee arthroplasty (TKA). Although risk-stratification tools exist for the prediction of cardiac complications including AMI after noncardiac surgery, such stratification does not differentiate the patients with a coronary stent alone, AMI without a stent, or AMI with a stent. The risk of postoperative AMI in these patient groups may vary. Several studies have recommended suitable times for noncardiac surgery in patients with a coronary stent; however, they do not differentiate between the patients with AMI and no AMI. The suitable time of noncardiac surgery for patients with AMI and stent may vary from those with a stent alone. Moreover, a study to evaluate the risk of AMI within 1 year in an Asian population with a history of AMI or coronary stent who underwent TKA has not been reported.