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Myocardial Infarction Risk Increases After Joint Replacement
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Myocardial Infarction Risk Increases After Joint Replacement
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The risk for acute myocardial infarction increases in the weeks following total hip or total knee replacement, according to an  Archives of Internal Medicine  study. A commentator stresses
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Myocardial Infarction Risk Increases After Joint Replacement

posted at 30/7/2012 4:58 PM BST on bmj.com
Posts: 667
First: 2/2/2011
Last: 19/6/2013

The risk for acute myocardial infarction increases in the weeks following total hip or total knee replacement, according to an Archives of Internal Medicine study. A commentator stresses the need for perioperative vigilance with all surgery.

 

Using Danish national health databases, researchers compared risks in nearly 100,000 patients undergoing joint replacement with those in matched controls not undergoing surgery. Hip replacement carried a 25-fold increased risk for MI relative to controls in the first 2 weeks after surgery, returning to background values after 6 weeks. For knee replacement, the risk was 30-fold higher by 2 weeks, and then dropped rapidly.

 

A commentator urges physicians to "actively work to reduce perioperative risk."

 

Archives of Internal Medicine article (Free)

Archives of Internal Medicine invited commentary (Free)

Re: Myocardial Infarction Risk Increases After Joint Replacement

posted at 30/7/2012 10:27 PM BST on bmj.com
Posts: 1828
First: 7/3/2009
Last: 18/6/2013
Similar studies of stroke risk and pulmonary embolism risk in THR and TKR patients compared to controls would be interesting to see. Do you know about such studies?

Re: Myocardial Infarction Risk Increases After Joint Replacement

posted at 31/7/2012 1:21 AM BST on bmj.com
Posts: 461
First: 29/4/2011
Last: 31/5/2013
i posted on this as well.

Forums » Off duty » General » Myocardial Infarction Risk Increases After Joint Replacement