Considerations on the Management of Acute Postoperative Ischemia After Cardiac Surgery: A Scientific Statement From the American Heart Association

被引：11

作者：

Gaudino, Mario D.

Dangas, George J.

Angiolillo, Dominick

Brodt, Jessica

Chikwe, Joanna

DeAnda, Abe

Hameed, Irbaz L.

Rodgers, Mary

Sandner, Sigrid Y.

Sun, Louise M.

Yong, Celina

机构：

来源：

CIRCULATION | 2023年 / 148卷 / 05期

关键词：

AHA Scientific Statements; myocardial ischemia; thoracic surgery; PERIOPERATIVE MYOCARDIAL-INFARCTION; PERCUTANEOUS CORONARY INTERVENTION; RACIAL DISPARITIES; GRAFT FAILURE; ARTERY INJURY; CONTRAST ECHOCARDIOGRAPHY; UNIVERSAL DEFINITION; EUROPEAN ASSOCIATION; ANGIOGRAPHIC CONTROL; OUTCOMES;

D O I：

10.1161/CIR.0000000000001154

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute postoperative myocardial ischemia (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 the diagnosis of acute PMI. In addition, current evidence on the management of acute PMI after cardiac surgery is sparse and generally of low methodological quality. Once acute PMI is suspected, prompt diagnosis and treatment are imperative, and options range from conservative strategies to percutaneous coronary intervention and redo coronary artery bypass grafting. In this document, a multidisciplinary group including experts in cardiac surgery, cardiology, anesthesiology, and postoperative care summarizes the existing evidence on diagnosis and treatment of acute PMI and provides clinical guidance.

引用

页码：442 / 454

页数：13

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