Perioperative infarction and myocardial injury: risk factors, mechanisms of development and clinical and epidemiological features

Тhe concept, risk factors, mechanisms, clinical and epidemiological, angiographic features of perioperative ischemic injury myocardial infarction were considered. Perioperative is one the most common complications (up to 3.6%) in non-cardiac surgical interventions characterized by high in-hospital mortality, reaching 25%. Most patients with this pathology 65%) do not have typical symptoms ischemia due anesthesia sedation. Pathogenetic mechanisms development continues be actively studied. A critical increase oxygen demand indicated as leading cause some studies. Angiography reveals rupture coronary plaque atherothrombosis more than half patients, according other data. These contradictions point need for further epidemiological studies using angiography a focus on factors triggers complication. In addition, concept recent years has been formulated scientific literature. This understood damage that occurs first 30 days after surgery. Recent shown it can occur 16% associated 6-fold mortality within 1 month surgery 2.5-fold year. It important does include cases non-ischemic etiology injury, example, pulmonary embolism, sepsis, or electrical cardioversion. Thus, assessment understanding great practical importance optimizing patient selection preparation treatment.