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ARTICLE |

Myocardial Infarction After General Anesthesia FREE

Sait Tarhan, MD; Emerson A. Moffitt, MD; William F. Taylor, PhD; Emilio R. Giuliani, MD
[+] Author Affiliations

Read before the Section of Anesthesiology at the 120th annual convention of the American Medical Association, Atlantic City, NJ, June 22, 1971.

Reprint requests to Mayo Clinic, 200 First St SW, Rochester, Minn 55901.


JAMA. 1972;220(11):1451-1454. doi:10.1001/jama.1972.03200110031006
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During 1967 and 1968, a total of 32,877 patients had general anesthesia at the Mayo Clinic; 422 had previous myocardial infarction. Of these 6.6% experienced another infarction during the first postoperative week. There was no relationship between incidence of postoperative reinfarction and type or duration of anesthesia. However, operations on the thorax and upper abdomen were followed by three times as many reinfarctions as operations at other sites. Patients who were operated on within three months of infarction had a 37% reinfarction rate. This rate decreased to 16% in patients at three to six months after infarction, and remained at 4% to 5% when infarction had occurred more than six months previously. A significantly higher number of myocardial infarctions occurred during the third postoperative day.

REFERENCES

Vital and Health Statistics: Coronary Heart Disease in Adults; United States 1960-1962 ,  series 11 , No (10) . US National Center for Health Statistics, Sept 1965;.
Baer S, Nakhjavan F, Kajani M:  Postoperative myocardial infarction . Surg Gynec Obstet 120:315-322, 1965;.
Walker RL, Macdessi BJ:  Myocardial abnormalities following geriatric surgery . Med J Aust 1:783-786, 1966;.
Knapp RB, Topkins MJ, Artusio JF Jr:  The cerebrovascular accident and coronary occlusion in anesthesia . JAMA 182:332-334, 1962;.
Arkins R, Smessaert AA, Hicks RG:  Mortality and morbidity in surgical patients with coronary artery disease . JAMA 190:485-488, 1964;.
Mauney FM Jr, Ebert PA, Sabiston DC Jr:  Postoperative myocardial infarction: A study of predisposing factors, diagnosis and mortality in a high risk group of surgical patients . Ann Surg 172:497-502, 1970;.
Logue RB, Hurst JW:  Prognosis of patients with angina pectoris and myocardial infarction , in Hurst JW, Logue RB (eds): The Heart Arteries and Veins , ed 2. New York, McGraw-Hill Book Co Inc, 1970;, pp 1021-1033.
Shapiro S, Weinblatt E, Frank CW, et al:  Incidence of coronary heart disease in a population insured for medical care (HIP): Myocardial infarction, angina pectoris, and possible myocardial infarction . Amer J Public Health , (suppl 59) , pp 1-101, 1969;.
Dack S:  Postoperative problems: Postoperative myocardial infarction (symposium on cardiovascular-pulmonary problems before and after surgery) . Amer J Cardiol 12:423-430, 1963;.
Tarhans S, Moffitt EA, Sessler AD:  The effect of deadspace rebreathing on postoperative atelectasis . Anesth Analg 48:721-727, 1969;.
Goldenfarb PB, Cathey MH, Zucker S, et al:  Changes in the hemostatic mechanism after myocardial infarction . Circulation 43:538-546, 1971;.
Grigoryan NA, Alimov TU:  Changes in the coagulating and anti-coagulating system of the blood during endotracheal anesthesia . Eksp Khir Anest 14:64-67, ( (Nov) -Dec) 1969;.
Seaman AJ, Griswold HE, Reaume RB, et al:  Prophylactic anticoagulant therapy for coronary artery disease . JAMA 189:183-187, 1964;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Vital and Health Statistics: Coronary Heart Disease in Adults; United States 1960-1962 ,  series 11 , No (10) . US National Center for Health Statistics, Sept 1965;.
Baer S, Nakhjavan F, Kajani M:  Postoperative myocardial infarction . Surg Gynec Obstet 120:315-322, 1965;.
Walker RL, Macdessi BJ:  Myocardial abnormalities following geriatric surgery . Med J Aust 1:783-786, 1966;.
Knapp RB, Topkins MJ, Artusio JF Jr:  The cerebrovascular accident and coronary occlusion in anesthesia . JAMA 182:332-334, 1962;.
Arkins R, Smessaert AA, Hicks RG:  Mortality and morbidity in surgical patients with coronary artery disease . JAMA 190:485-488, 1964;.
Mauney FM Jr, Ebert PA, Sabiston DC Jr:  Postoperative myocardial infarction: A study of predisposing factors, diagnosis and mortality in a high risk group of surgical patients . Ann Surg 172:497-502, 1970;.
Logue RB, Hurst JW:  Prognosis of patients with angina pectoris and myocardial infarction , in Hurst JW, Logue RB (eds): The Heart Arteries and Veins , ed 2. New York, McGraw-Hill Book Co Inc, 1970;, pp 1021-1033.
Shapiro S, Weinblatt E, Frank CW, et al:  Incidence of coronary heart disease in a population insured for medical care (HIP): Myocardial infarction, angina pectoris, and possible myocardial infarction . Amer J Public Health , (suppl 59) , pp 1-101, 1969;.
Dack S:  Postoperative problems: Postoperative myocardial infarction (symposium on cardiovascular-pulmonary problems before and after surgery) . Amer J Cardiol 12:423-430, 1963;.
Tarhans S, Moffitt EA, Sessler AD:  The effect of deadspace rebreathing on postoperative atelectasis . Anesth Analg 48:721-727, 1969;.
Goldenfarb PB, Cathey MH, Zucker S, et al:  Changes in the hemostatic mechanism after myocardial infarction . Circulation 43:538-546, 1971;.
Grigoryan NA, Alimov TU:  Changes in the coagulating and anti-coagulating system of the blood during endotracheal anesthesia . Eksp Khir Anest 14:64-67, ( (Nov) -Dec) 1969;.
Seaman AJ, Griswold HE, Reaume RB, et al:  Prophylactic anticoagulant therapy for coronary artery disease . JAMA 189:183-187, 1964;.
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