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Posts Tagged ‘aspirin and surgery’

As reported at the heart.org, in an article by Michael R’iodan, a recent study completed in the Netherlands showed a heightened risk of post-operative myocardial infarction (MI or heart attack) in the first few weeks after orthopedic surgery (Hip and knee replacement).  This study showed patients to have an up to a 25X increased risk of heart attack in this post-operative period – the risk was particularly acute in the elderly and in patients with previous diagnosis of cardiac disease.

This highlights the importance of pre-operative screening, aggressive medical management of co-morbid conditions during and after surgery, and detecting the sometimes ‘missed’ post-operative MI.  Patients should be carefully evaluated for the presence of angina, or risk factors contributing to the development of coronary artery disease such as hypertension, hypercholesteremia, peripheral vascular disease or diabetes.

Critical medications such beta blockers and statins should be continued during and after surgery.  Medications such as aspirin should be evaluated (and in many cases) continued.

Studies such as this shouldn’t surprise medical professionals – they just confirm what we already know, and should encourage evidence based practice and careful pre-operative screening and co-morbidity management.

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