Abstract
There is a paucity of reports evaluating the perioperative risk of noncardiac surgery in patients with hypertrophic cardiomyopathy (HCM). The study was undertaken to evaluate the incidence of acute myocardial infarction (MI) and all-cause inhospital mortality following noncardiac surgery in patients with HCM. We searched the National Hospital Discharge Survey database for patients with a diagnosis of HCM who had undergone noncardiac surgery. Cases were matched by age, gender, and year of surgery. Death or acute MI were used as endpoints for analysis. From 1996 to 2002, 227 patients with HCM were matched with 554 controls (representing national estimates of 25,874 HCM and 50,326 controls patients). Patients with HCM were more likely than controls to have a history of atrial fibrillation (22.7 vs. 10.6%, p < 0.001) and of congestive heart failure (CHF) (24.2 vs. 14.1%, p < 0.001). The in-hospital incidence of death or MI was higher in patients with HCM than in controls (6.7 vs. 2.5%, p < 0.001 for death and 2.2 vs. 0.3%, p < 0.001 for MI). After correcting for age, gender, race, presence of hypertension, diabetes mellitus, history of coronary artery-disease, history of CHF, atrial fibrillation, and ventricular arrhythmias in a mu...Continue Reading
References
Sep 1, 1992·Circulation·L FananapazirD McAreavey
Nov 1, 1989·Circulation·L FananapazirS E Epstein
Aug 1, 1996·Anesthesiology·J M HaeringW J Manning
Feb 2, 2002·Journal of the American College of Cardiology·Kim A EagleUNKNOWN American Heart Association
Mar 12, 2002·JAMA : the Journal of the American Medical Association·Barry J Maron
Mar 27, 2004·The New England Journal of Medicine·Rick A Nishimura, David R Holmes
Jun 9, 2004·Circulation·Barry J MaronUNKNOWN Councils on Clinical Cardiology and Cardiovascular Disease in the Young
Citations
May 25, 2012·American Journal of Veterinary Research·Ashley J WieseBruno H Pypendop
Jul 14, 2010·Transplantation Proceedings·A Robertson
Jun 24, 2009·Transplantation Proceedings·J H ChinG S Hwang
Dec 26, 2015·Journal of Cardiothoracic and Vascular Anesthesia·David W BarbaraWilliam J Mauermann
Aug 6, 2014·Journal of the American College of Cardiology·Lee A FleisherDuminda N Wijeysundera
Jan 19, 2007·Alimentary Pharmacology & Therapeutics·J A Davila, H B El-Serag
Dec 26, 2015·Anesthesiology and Pain Medicine·Brian Cowie
Aug 31, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Toshiya KojimaRyozo Nagai
Jun 12, 2016·Heart·Ashwat DhillonMilind Y Desai
Apr 10, 2008·Seminars in Cardiothoracic and Vascular Anesthesia·Alexander Jc MittnachtSteven Konstadt
Aug 3, 2014·Circulation·Lee A FleisherDuminda N Wijeysundera
Nov 11, 2018·Archives of Disease in Childhood·Gabrielle NorrishJuan Pablo Kaski
Feb 20, 2015·Anesthesia and Analgesia·Nadia HensleyMaryBeth Brady
Jan 1, 2020·BMC Cardiovascular Disorders·Yoichi ImoriWataru Shimizu
Sep 20, 2017·Seminars in Cardiothoracic and Vascular Anesthesia·Anthony BonaviaDmitri Bezinover
Jun 9, 2018·Transplantation Proceedings·S-L PaiJ L Blackshear
Mar 4, 2015·Veterinary Anaesthesia and Analgesia·Alejandra Garcia de Carellan MateoHatim Alibhai