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European Heart Journal, Volume 38, Issue 31, 14 August 2017, Pages 2392–2411, https://doi.org/10.1093/eurheartj/ehx383
Published: 25 July 2017
Introduction
Coronary artery disease (CAD) is one of the leading causes of death and disability in Europe and worldwide. For patients with multi-vessel CAD, coronary artery bypass graft (CABG) surgery is a common approach for coronary revascularization, and is of proven symptomatic and prognostic benefit. Due to an aging population, higher prevalence of co-morbidities (such as diabetes mellitus, heart failure, hypertension, and renal failure), and a growing requirement for concomitant surgical procedures (such as valve and aortic surgery), higher risk patients are undergoing surgery.1–3 This has resulted in an increased risk of peri-operative myocardial injury (PMI)4 and Type 5 myocardial infarction (MI), both of which are associated with worsened clinical outcomes following CABG surgery. The aetiology and determinants of PMI and Type 5 MI are multi-factorial (see Tables 1 and 2 for summary). Although diagnostic criteria have been proposed for Type 5 MI (based on an elevation in cardiac biomarkers in the 48-h post-operative period and electrocardiogram/angiography/imaging evidence of MI5,13), there is currently no clear definition for prognostically significant PMI, in terms of the level of post-operative cardiac biomarker elevation, which is associated with worsened clinical outcomes following CABG surgery.
We welcomed almost 770 participants on May 11- 14 in Thessaloniki, Greece The following awards were given during the congress YOUNG CARDIAC AWARD SESSION[vcex_image_carousel img_size="full" thumbnail_link="lightbox" image_ids="997,998,999,1000"]YOUNG VASCULAR AWARD SESSION[vcex_image_carousel (more...)