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

Authors
 Myung Il Bae  ;  Tae-Hoon Kim  ;  Hei Jin Yoon  ;  Suk-Won Song  ;  Narhyun Min  ;  Jongyun Lee  ;  Sung Yeon Ham 
Citation
 JOURNAL OF CLINICAL MEDICINE, Vol.13(4) : 959, 2024-02 
Journal Title
JOURNAL OF CLINICAL MEDICINE
Issue Date
2024-02
Keywords
abdominal aortic aneurysm ; abdominal aortic aneurysm open repair ; mortality ; myocardial injury after non-cardiac surgery
Abstract
Background: 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. Methods: 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. Results: 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, p = 0.029) and 1-year mortality (OR: 5.189, 95% CI: 1.357–19.844, p = 0.016). Kaplan–Meier survival curves demonstrated significantly lower overall survival rates in patients with MINS compared to those without MINS (p = 0.003). Conclusion: 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.
Files in This Item:
T202401150.pdf Download
DOI
10.3390/jcm13040959
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Tae Hoon(김태훈) ORCID logo https://orcid.org/0000-0003-3987-0057
Min, Nar Hyun(민나현) ORCID logo https://orcid.org/0000-0003-2367-3489
Bae, Myung Il(배명일)
Yoon, Hei Jin(윤혜진)
Ham, Sung Yeon(함성연) ORCID logo https://orcid.org/0000-0001-8619-4595
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/198663
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