SciELO - Scientific Electronic Library Online

 
vol.12 número4Diferencas entre os generos em pacientes com isquemia critica por doenca arterial obstrutiva perifericaInvestigacao de edema postural de membros inferiores em agentes de transito índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

Compartilhar


Jornal Vascular Brasileiro

versão impressa ISSN 1677-5449

Resumo

LINS, Esdras Marques et al. Acute myocardial infarctation in patients with critical ischemia underwent lower limb revascularization. J. vasc. bras. [online]. 2013, vol.12, n.4, pp.284-288. ISSN 1677-5449.  http://dx.doi.org/10.1590/jvb.2013.059.

BACKGROUND:

Atherosclerosis is the main cause of peripheral artery occlusive disease (PAOD) of the lower limbs. Patients with PAOD often also have obstructive atherosclerosis in other arterial sites, mainly the coronary arteries. This means that patients who undergo infrainguinal bypass to treat critical ischemia have a higher risk of AMI. There are, however, few reports in the literature that have assessed this risk properly.

OBJECTIVE:

The aim of this study was to determine the incidence of acute myocardial infarction in patients who underwent infrainguinal bypass to treat critical ischemia of the lower limbs caused by PAOD.

MATERIAL AND METHODS:

A total of 64 patients who underwent 82 infrainguinal bypass operations, from February 2011 to July 2012 were studied. All patients had electrocardiograms and troponin I blood assays during the postoperative period (within 72 hours).

RESULTS:

There were abnormal ECG findings and elevated blood troponin I levels suggestive of AMI in five (6%) of the 82 operations performed. All five had conventional surgery. The incidence of AMI as a proportion of the 52 conventional surgery cases was 9.6%. Two patients died.

CONCLUSION:

There was a 6% AMI incidence among patients who underwent infrainguinal bypass due to PAOD. Considering only cases operated using conventional surgery, the incidence of AMI was 9.6%.

Palavras-chave : peripheral arterial disease; myocardial infarction; postoperative period.

        · resumo em Português     · texto em Português | Inglês     · Português ( pdf ) | Inglês ( pdf )