Risk factors for postoperative myocardial infarct following cholecystectomy: A population-based study
HPB Jul 24, 2019
Palsson SH, et al. - Via a study based on data from the Swedish Register for Gallstone Surgery 2006–2014, researchers examined the risk for myocardial infarction (MI) following cholecystectomy. A total of 94,577 procedures were involved. Eighty-seven cases had an MI within 30 days postoperatively (30d-po). An MI happened more frequently in men, following open surgery, was age-related, and occurred more frequently in those with gallstone complications and high ASA score. If the patient experienced an infarct within 8 weeks preoperatively, the risk for MI within 30d-po was estimated to be 52.8%. Independent risk factors were laparoscopy converted to open and primarily open surgery. In the group with 30d-po MI, the mortality was estimated to be 11.5% vs 0.02%. Postponing elective cholecystectomy for at least 8 weeks following a recent MI lowers the risk for postoperative MI.
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