EACTS Perioperative Myocardial Infarction After Cardiac Surgery Guideline Summary - Guideline Central
Summary of Expert Statements
Document Overview

Perioperative Myocardial Infarction After Cardiac Surgery

European Association for Cardio Thoracic Surgery


Publication Date: Feb 1, 2024

Page Last Updated: May 6, 2026



Document Overview

Document Title
Perioperative Myocardial Infarction After Cardiac Surgery
Authoring Society

European Association for Cardio Thoracic Surgery

Document Publication Date
Feb 1, 2024
Page Last Reviewed/Updated
May 6, 2026
Document Type
Consensus Statement
Country of Publication
European
Full Text Freely Available
Yes
Full Text Guideline
academic.oup.com/ejcts/article/65/2/ezad415/7615952
Source Citation

Gaudino M, Flather M, Capodanno D, Milojevic M, Bhatt DL, Biondi Zoccai G, Boden WE, Devereaux PJ, Doenst T, Farkouh M, Freemantle N, Fremes S, Puskas J, Landoni G, Lawton J, Myers PO, Redfors B, Sandner S. European Association of Cardio-Thoracic Surgery (EACTS) expert consensus statement on perioperative myocardial infarction after cardiac surgery. Eur J Cardiothorac Surg. 2024 Feb 1;65(2):ezad415. doi: 10.1093/ejcts/ezad415. PMID: 38420786.


Document Scope, Criteria, and Use Cases

Document Objectives

Cardiac surgery may lead to myocardial damage and release of cardiac biomarkers through various mechanisms such as cardiac manipulation, systemic inflammation, myocardial hypoxia, cardioplegic arrest and ischaemia caused by coronary or graft occlusion. Defining perioperative myocardial infarction (PMI) after cardiac surgery presents challenges, and the association between the current PMI definitions and postoperative outcomes remains uncertain. To address these challenges, the European Association of Cardio-Thoracic Surgery (EACTS) facilitated collaboration among a multidisciplinary group to evaluate the existing evidence on the mechanisms, diagnosis and prognostic implications of PMI after cardiac surgery.

Scope
Management, Treatment
Diseases/Conditions (MeSH)

D017202 - Myocardial Ischemia

D009203 - Myocardial Infarction

D017202 - Myocardial Ischemia

D009203 - Myocardial Infarction

Keywords
New myocardial ischemia, Perioperative myocardial infarction
Target Patient Population
Adult patients scheduled for cardiac surgery
Target Provider Population
Cardiothoracic surgeon, cardiac anesthesiologist, cardiologist, intensivist, perfusionist
Inclusion Criteria
Male, Female, Adult, Older Adult
Health Care Settings
Ambulatory, Hospital, Operating and Recovery Room
Intended Users
Nurse, Nurse Practitioner, Physician, Physician Assistant
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