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Risk for Acute Myocardial Infarction After Ophthalmologic Procedures
Abhijit Sen1, Katalin Gémes2, Gustav Stålhammar3
1Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Center for Oral Health Services and Research (TkMidt), Trondheim, and Clinic of Surgery, St. Olav's University Hospital, Trondheim, Norway (A.S.).
Annals of Internal Medicine
|March 21, 2022
Summary
Ophthalmologic procedures are not associated with an increased risk of acute myocardial infarction (AMI). This study found no evidence of elevated AMI risk following eye surgery, regardless of procedure type or patient factors.
Area of Science:
- Cardiology
- Ophthalmology
- Public Health
Background:
- Preoperative cardiovascular evaluations are standard before ambulatory ophthalmologic procedures.
- The risk of acute myocardial infarction (AMI) triggered by these procedures remains unknown.
Purpose of the Study:
- To assess the short-term risk of AMI following ophthalmologic procedures.
- Investigate the association between eye surgery and myocardial infarction.
Main Methods:
- A population-based, nationwide case-crossover study in Norway and Sweden.
- Included patients aged 40+ with first-time AMI, comparing ophthalmologic procedure exposure in the week before AMI to a control period.
- Used conditional logistic regression to calculate odds ratios (ORs) and 95% confidence intervals (CIs).
Main Results:
- A total of 806 patients with AMI were analyzed.
- A lower likelihood of AMI was observed in the week after an ophthalmologic procedure (OR, 0.83; 95% CI, 0.75 to 0.91).
- No increased AMI risk was found when stratified by surgery subtype, anesthesia, duration, invasiveness, age, or comorbidity.
Conclusions:
- Outpatient ophthalmologic procedures do not appear to increase the risk of acute myocardial infarction.
- Findings suggest routine preoperative cardiac evaluations may not be necessary for all ophthalmologic procedures based on AMI risk.
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