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Previous MI..Now in OR


A couple decades ago, a patient was considered at high risk for Post Operative  cardiac complication(PCC) for 6 months after an MI, and at some increased risk forever.

Today, advances in treatment of acute coronary syndrome have improved the prognosis after MI.

However, as shown by Van Belles angiography study of 56 post-MI patients, plaques remain unstable and vulnerable to reocclusion for at least 4 weeks, even after thrombolysis.

Now the high-risk period is 6 weeks, with a period of relative risk from 612 weeks. In this relative-risk period, cardiac function is more important than time



Van Belle E, Lablanche J-M, Bauters C, Renaud N, McFadden EP, Bertrand ME.

Coronary angioscopic findings in the infarct- related vessel within 1 month of acute myocardial infarction: natural history and the effect of thrombolysis. Circulation 1998;97(1):2633.


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