Myocardial Injury after Non-Cardiac Surgery in Patients Who Underwent Open Repair for Abdominal Aortic Aneurysm: A Retrospective Study

Myocardial injury after non-cardiac surgery (MINS) has been known to be associated with mortality in various surgical patients; however, its prognostic role in abdominal aortic aneurysm (AAA) open repair remains underexplored. This study aimed to investigate the role of MINS as a predictor of mortal...

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Bibliographic Details
Published in:Journal of clinical medicine 2024-02, Vol.13 (4), p.959
Main Authors: Bae, Myung Il, Kim, Tae-Hoon, Yoon, Hei Jin, Song, Suk-Won, Min, Narhyun, Lee, Jongyun, Ham, Sung Yeon
Format: Article
Language:English
Subjects:
Abdominal aneurysm
Anemia
Aortic aneurysms
Blood
Body mass index
Cardiac arrhythmia
Cardiomyopathy
Cardiovascular disease
Care and treatment
Coronary vessels
Creatinine
Diagnosis
Heart attacks
Heart diseases
Heart failure
Hemoglobin
Hospitals
Ischemia
Kidney diseases
Length of stay
Medical imaging
Medical records
Mortality
Patient outcomes
Patients
Regression analysis
Risk factors
Sepsis
Vascular surgery
Vein & artery diseases
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Summary:Myocardial injury after non-cardiac surgery (MINS) has been known to be associated with mortality in various surgical patients; however, its prognostic role in abdominal aortic aneurysm (AAA) open repair remains underexplored. This study aimed to investigate the role of MINS as a predictor of mortality in patients who underwent AAA open repair. This retrospective study investigated 352 patients who underwent open repair for non-ruptured AAA. The predictors of 30-day and 1-year mortalities were investigated using logistic regression analysis. MINS was diagnosed in 41% of the patients after AAA open repair in this study. MINS was an independent risk factor of 30-day mortality (odds ratio [OR]: 10.440, 95% confidence interval [CI]: 1.278-85.274, = 0.029) and 1-year mortality (OR: 5.189, 95% CI: 1.357-19.844, = 0.016). Kaplan-Meier survival curves demonstrated significantly lower overall survival rates in patients with MINS compared to those without MINS ( = 0.003). This study revealed that MINS is a common complication after AAA open repair and is an independent risk factor of 30-day and 1-year mortalities. Patients with MINS have lower overall survival rates than those without MINS.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm13040959