Recent studies show that the risk of reinfarction and death after surgery in patients with recent myocardial infarction (MI) has significantly decreased over the past 30 years, with current statistics indicating only 2.1% experiencing reinfarction perioperatively.
The study utilized data from the National Surgical Quality Improvement Program (2005-2009) to analyze cardiac comorbidities and other factors, finding that frailty and ASA class are stronger predictors of adverse cardiac events than a history of MI.
The findings suggest that while the risk associated with previous MI has improved, the assessment of frailty and ASA class should be prioritized in predicting surgical outcomes for patients.