Management of Perioperative Myocardial Infarction in Non-cardiac Surgical Patients

Perioperative myocardial infarction(PMI) is a major cause of morbidity and mortality in patients undergoing non-cardiac surgery.The incidence of PMI is likely to increase as surgery and anesthesia are increasingly being used on individuals undergoing non-cardiac surgery.Though numerous recent studies,reviews,and guidelines have focused on the perioperative cardiovascular evaluation(especially the evaluation of ischemic heart disease) as well as the prevention of cardiac ischemia and myocardial infarction for non-cardiac surgical patients,few studies have focused on the treatment of PMI once it occurs.This article reviews the epidemiology,possible mechanisms,diagnosis,and treatment options for PMI in the surgical setting.We also suggest algorithms for treatment.