In this analysis of the POISE trial, 5% of patients suffered a peri-operative MI. 3/4 of them occurred within 48 hours, and 2/3 did not have any symptoms. 30 day death was 12% (versus 2% in post-op patients without an MI). Post-op MI is still relatively common, often asymptomatic, and associated with high mortality. This may justify the use of EKG monitoring in high risk patients shortly after surgery (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.