Incidence and timing of myocardial infarction after total joint arthroplasty

Rajiv Gandhi; Danielle Petruccelli; Philip J Devereaux; Anthony Adili; Matthias Hubmann; Justin de Beer

doi:10.1016/j.arth.2005.10.007

Incidence and timing of myocardial infarction after total joint arthroplasty

J Arthroplasty. 2006 Sep;21(6):874-7. doi: 10.1016/j.arth.2005.10.007.

Authors

Rajiv Gandhi¹, Danielle Petruccelli, Philip J Devereaux, Anthony Adili, Matthias Hubmann, Justin de Beer

Affiliation

¹ Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.

PMID: 16950042
DOI: 10.1016/j.arth.2005.10.007

Abstract

Retrospective review of 3471 patients who underwent total joint arthroplasty (TJA) (1479 hips, 1992 knees) to determine the incidence and timing of inhospital myocardial infarction (MI) after TJA. Sixty-three patients (1.8%; 95% CI, 1.4%-2.4%) suffered a perioperative MI occurring at a mean of 3 days post surgery. In multivariate analysis, increased age, body mass index, bilateral TJA, diabetes, and American Society of Anesthesiologists rating 3 were associated with perioperative MI. Our data cautions against hospital discharge within 3 days of surgery.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Aged
Arthroplasty, Replacement, Hip*
Arthroplasty, Replacement, Knee*
Body Mass Index
Chi-Square Distribution
Female
Hospital Mortality
Humans
Incidence
Male
Middle Aged
Myocardial Infarction / epidemiology*
Myocardial Infarction / mortality
Ontario / epidemiology
Regression Analysis
Retrospective Studies
Risk Factors