E-ISSN 1658-7820
 

Case Report

Online Publishing Date:
29 / 11 / 2021

 


Postoperative myocardial infarction following endoscopic sinus surgery in the absence of significant risk factors: a case report

Zainab Ghalib AlHashim, Mohamad Zaki Alzaher, Ali Abdullah Almulla, Hamza Ali Almusabeh, Mohammad S. Al Fehaid.


Abstract
Background: Postoperative myocardial infarction (PMI) is a serious complication that could occur following any cardiac or noncardiac surgery. The likelihood of developing this complication is low in patients not fulfilling any of the revised cardiac risk index (RCRI) criteria. We report a case of PMI following elective noncardiac and nonvascular surgery in a patient not fulfilling any of the RCRI criteria.
Case Presentation: A 61-year-old male who had no chronic illnesses underwent elective endoscopic sinus surgery and septorhinoplasty. His preoperative assessment was unremarkable. Upon emergence from anesthesia, electrocardiogram changes were noted in the form of ST-elevations. This, along with the elevated troponin levels, indicated myocardial infarction (MI). The patient was treated with oxygen therapy, aspirin, nitroglycerin, morphine and then was shifted to the catheterization laboratory for coronary angiography and coronary artery catheterization.
Conclusion: PMI can occur in seemingly healthy patients undergoing low-risk surgeries. More studies need to be conducted to evaluate preoperative screening guidelines and tests to predict this devastating complication better. More studies should also be performed to assess the RCRI’s criteria and accuracy in risk estimation.

Key words: Postoperative, myocardial infarction, noncardiac surgery, ischemic heart disease


 
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How to Cite this Article
Pubmed Style

AlHashim ZG, Alzaher MZ, Almulla AA, Almusabeh HA, Fehaid MSA. Postoperative myocardial infarction following endoscopic sinus surgery in the absence of significant risk factors: a case report. IJMDC. 2021; 5(12): 2166-2169. doi:10.24911/IJMDC.51-1630348714


Web Style

AlHashim ZG, Alzaher MZ, Almulla AA, Almusabeh HA, Fehaid MSA. Postoperative myocardial infarction following endoscopic sinus surgery in the absence of significant risk factors: a case report. https://www.ijmdc.com/?mno=117954 [Access: June 05, 2024]. doi:10.24911/IJMDC.51-1630348714


AMA (American Medical Association) Style

AlHashim ZG, Alzaher MZ, Almulla AA, Almusabeh HA, Fehaid MSA. Postoperative myocardial infarction following endoscopic sinus surgery in the absence of significant risk factors: a case report. IJMDC. 2021; 5(12): 2166-2169. doi:10.24911/IJMDC.51-1630348714



Vancouver/ICMJE Style

AlHashim ZG, Alzaher MZ, Almulla AA, Almusabeh HA, Fehaid MSA. Postoperative myocardial infarction following endoscopic sinus surgery in the absence of significant risk factors: a case report. IJMDC. (2021), [cited June 05, 2024]; 5(12): 2166-2169. doi:10.24911/IJMDC.51-1630348714



Harvard Style

AlHashim, Z. G., Alzaher, . M. Z., Almulla, . A. A., Almusabeh, . H. A. & Fehaid, . M. S. A. (2021) Postoperative myocardial infarction following endoscopic sinus surgery in the absence of significant risk factors: a case report. IJMDC, 5 (12), 2166-2169. doi:10.24911/IJMDC.51-1630348714



Turabian Style

AlHashim, Zainab Ghalib, Mohamad Zaki Alzaher, Ali Abdullah Almulla, Hamza Ali Almusabeh, and Mohammad S. Al Fehaid. 2021. Postoperative myocardial infarction following endoscopic sinus surgery in the absence of significant risk factors: a case report. International Journal of Medicine in Developing Countries, 5 (12), 2166-2169. doi:10.24911/IJMDC.51-1630348714



Chicago Style

AlHashim, Zainab Ghalib, Mohamad Zaki Alzaher, Ali Abdullah Almulla, Hamza Ali Almusabeh, and Mohammad S. Al Fehaid. "Postoperative myocardial infarction following endoscopic sinus surgery in the absence of significant risk factors: a case report." International Journal of Medicine in Developing Countries 5 (2021), 2166-2169. doi:10.24911/IJMDC.51-1630348714



MLA (The Modern Language Association) Style

AlHashim, Zainab Ghalib, Mohamad Zaki Alzaher, Ali Abdullah Almulla, Hamza Ali Almusabeh, and Mohammad S. Al Fehaid. "Postoperative myocardial infarction following endoscopic sinus surgery in the absence of significant risk factors: a case report." International Journal of Medicine in Developing Countries 5.12 (2021), 2166-2169. Print. doi:10.24911/IJMDC.51-1630348714



APA (American Psychological Association) Style

AlHashim, Z. G., Alzaher, . M. Z., Almulla, . A. A., Almusabeh, . H. A. & Fehaid, . M. S. A. (2021) Postoperative myocardial infarction following endoscopic sinus surgery in the absence of significant risk factors: a case report. International Journal of Medicine in Developing Countries, 5 (12), 2166-2169. doi:10.24911/IJMDC.51-1630348714





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