Coronary disease & ACSCohort study
Peri-operative myocardial infarction/injury after non-cardiac surgery: association between cardiologist evaluation and outcomes
- Prospective cohort study
- multicentre
Authors' conclusion
Cardiologist evaluation of patients with PMI following major non-cardiac surgery was associated with a reduced risk of major adverse cardiac events and all-cause mortality at 365 days after surgery
Study context
- Population
- High-risk patients with peri-operative myocardial infarction/injury (PMI) after non-cardiac surgery, in a PMI active surveillance and response programmePMI among 14,294 screened
- Participants
- 1,048 patients
- Exposure
- Cardiologist evaluation vs no cardiologist evaluation after PMI
- Cardiologist evaluationn = 614
- Outcome
- MACE:
- CV death
- MI
- Acute HF
- Life-threatening arrhythmia
- Follow-up
- 365 days
Main finding
MACE
Adjusted hazard ratio
.54
P = 0.001
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
| Outcome | adjusted HR | P value |
|---|---|---|
| All-cause death · 365 days | .65 | P = 0.037 |
Cardiac work-up and therapy
- Cardiologist evaluation more likely to lead to non-invasive cardiac imaging, DAPT and statin therapy
Original publication
Peri-operative myocardial infarction/injury after non-cardiac surgery: association between cardiologist evaluation and outcomes. Eur Heart J. Published 30 January 2026. doi:10.1093/eurheartj/ehaf846
Summarised from the published abstract; every number is checked against it