Diagnosis and Treatment of Postoperative Myocardial Infarction: A Retrospective Cohort Study on 600 Cardiac Surgery Patients
Introduction: Postoperative myocardial infarction (PMI) is a severe complication after cardiac surgery, significantly impacting patient outcomes. Acute PMI after cardiac surgery is an infrequent event that can evolve rapidly and become a potentially life-threatening complication. Multiple factors ar...
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| Format: | Article |
| Language: | English |
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Albanian Society for Trauma and Emergency Surgery
2025-01-01
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| Series: | Albanian Journal of Trauma and Emergency Surgery |
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| Online Access: | http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/444 |
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| author | Saimir Kuci Marsela Goga Alfred Ibrahimi Ervin Bejko Stavri Llazo Jonela Burimi Esmerilda Bulku Andi Kacani Ermal Likaj Ali Refatllari Selman Dumani Klodian Krakulli Arber Aliu Fjorba Mana Devis Pellumbi Aferdita Veseli Edlira Rruci Laureta Dibra Arben Baboci Edvin Prifti Altin Veshti |
| author_facet | Saimir Kuci Marsela Goga Alfred Ibrahimi Ervin Bejko Stavri Llazo Jonela Burimi Esmerilda Bulku Andi Kacani Ermal Likaj Ali Refatllari Selman Dumani Klodian Krakulli Arber Aliu Fjorba Mana Devis Pellumbi Aferdita Veseli Edlira Rruci Laureta Dibra Arben Baboci Edvin Prifti Altin Veshti |
| author_sort | Saimir Kuci |
| collection | DOAJ |
| description | Introduction: Postoperative myocardial infarction (PMI) is a severe complication after cardiac surgery, significantly impacting patient outcomes. Acute PMI after cardiac surgery is an infrequent event that can evolve rapidly and become a potentially life-threatening complication. Multiple factors are associated with acute PMI after cardiac surgery and may vary by the type of surgical procedure performed. Although the criteria defining nonprocedural myocardial ischemia are well established, there are no universally accepted criteria for diagnosing acute PMI. This retrospective study analyzed 600 patients who underwent cardiac surgery at a single center over one year. The incidence, diagnosis, and management of PMI were evaluated, focusing on diagnostic methods, therapeutic interventions, and the role of intra-aortic balloon pumps (IABPs). Our findings provide insights into the anesthesiologist’s role in identifying and managing PMI, highlighting strategies to reduce morbidity and mortality in this high-risk population.
Conclusions: Early detection and tailored management of PMI are vital to reducing complications. Anesthesiologists and intensive care teams are key in optimizing outcomes through advanced support measures like intra-aortic balloon pumps. These findings, which provide practical insights to enhance perioperative care, empower us to manage this high-risk population better.
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| format | Article |
| id | doaj-art-addfcde50e5d403ab3ee8507c9d35fea |
| institution | Kabale University |
| issn | 2521-8778 2616-4922 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj-art-addfcde50e5d403ab3ee8507c9d35fea2025-01-19T14:24:37ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222025-01-019110.32391/ajtes.v9i1.444Diagnosis and Treatment of Postoperative Myocardial Infarction: A Retrospective Cohort Study on 600 Cardiac Surgery PatientsSaimir Kuci0Marsela Goga1Alfred Ibrahimi2Ervin Bejko3Stavri Llazo4Jonela Burimi5Esmerilda Bulku6Andi Kacani7Ermal Likaj8Ali Refatllari9Selman Dumani10Klodian Krakulli11Arber Aliu12Fjorba Mana13Devis Pellumbi14Aferdita Veseli15Edlira Rruci16Laureta Dibra17Arben Baboci18Edvin Prifti19Altin Veshti20Anesthesia & ICU Service at University Hospital Center “Mother Teresa” Tirana, ALBANIAAnesthesia & ICU Service at University Hospital Center “Mother Teresa” Tirana, ALBANIAAnesthesia & ICU Service at University Hospital Center “Mother Teresa” Tirana, ALBANIAAnesthesia & ICU Service at University Hospital Center “Mother Teresa” Tirana, ALBANIAAnesthesia & ICU Service at University Hospital Center “Mother Teresa” Tirana, ALBANIAAnesthesia & ICU Service at University Hospital Center “Mother Teresa” Tirana, ALBANIAAnesthesia & ICU Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIACardiac Surgery Service at University Hospital Center “Mother Teresa” Tirana, ALBANIAIntroduction: Postoperative myocardial infarction (PMI) is a severe complication after cardiac surgery, significantly impacting patient outcomes. Acute PMI after cardiac surgery is an infrequent event that can evolve rapidly and become a potentially life-threatening complication. Multiple factors are associated with acute PMI after cardiac surgery and may vary by the type of surgical procedure performed. Although the criteria defining nonprocedural myocardial ischemia are well established, there are no universally accepted criteria for diagnosing acute PMI. This retrospective study analyzed 600 patients who underwent cardiac surgery at a single center over one year. The incidence, diagnosis, and management of PMI were evaluated, focusing on diagnostic methods, therapeutic interventions, and the role of intra-aortic balloon pumps (IABPs). Our findings provide insights into the anesthesiologist’s role in identifying and managing PMI, highlighting strategies to reduce morbidity and mortality in this high-risk population. Conclusions: Early detection and tailored management of PMI are vital to reducing complications. Anesthesiologists and intensive care teams are key in optimizing outcomes through advanced support measures like intra-aortic balloon pumps. These findings, which provide practical insights to enhance perioperative care, empower us to manage this high-risk population better. http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/444PMIcardiac surgeryIABPperioperative careanesthesiologymorbidity |
| spellingShingle | Saimir Kuci Marsela Goga Alfred Ibrahimi Ervin Bejko Stavri Llazo Jonela Burimi Esmerilda Bulku Andi Kacani Ermal Likaj Ali Refatllari Selman Dumani Klodian Krakulli Arber Aliu Fjorba Mana Devis Pellumbi Aferdita Veseli Edlira Rruci Laureta Dibra Arben Baboci Edvin Prifti Altin Veshti Diagnosis and Treatment of Postoperative Myocardial Infarction: A Retrospective Cohort Study on 600 Cardiac Surgery Patients Albanian Journal of Trauma and Emergency Surgery PMI cardiac surgery IABP perioperative care anesthesiology morbidity |
| title | Diagnosis and Treatment of Postoperative Myocardial Infarction: A Retrospective Cohort Study on 600 Cardiac Surgery Patients |
| title_full | Diagnosis and Treatment of Postoperative Myocardial Infarction: A Retrospective Cohort Study on 600 Cardiac Surgery Patients |
| title_fullStr | Diagnosis and Treatment of Postoperative Myocardial Infarction: A Retrospective Cohort Study on 600 Cardiac Surgery Patients |
| title_full_unstemmed | Diagnosis and Treatment of Postoperative Myocardial Infarction: A Retrospective Cohort Study on 600 Cardiac Surgery Patients |
| title_short | Diagnosis and Treatment of Postoperative Myocardial Infarction: A Retrospective Cohort Study on 600 Cardiac Surgery Patients |
| title_sort | diagnosis and treatment of postoperative myocardial infarction a retrospective cohort study on 600 cardiac surgery patients |
| topic | PMI cardiac surgery IABP perioperative care anesthesiology morbidity |
| url | http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/444 |
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