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Previous Volume 351:2861-2863 December 30, 2004 Number 27 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The evaluation of cardiac risk before noncardiac surgical procedures and interventions aimed toward reducing that risk have become an integral part of the contemporary practice of medicine. In the nonoperative setting, it is generally accepted that the pathophysiology of acute myocardial infarction is usually due to the disruption of a vulnerable coronary-artery plaque followed by coronary-artery thrombosis. Histopathological analyses of coronary arteries in patients who had a fatal myocardial infarction soon after noncardiac surgery have confirmed this pathophysiology, with evidence of an unstable plaque present in more than half of patients.¹

An association between fatal perioperative myocardial infarction and advanced . . . [Full Text of this Article]

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From the Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan Cardiovascular Center, Ann Arbor.

Related Letters:

Coronary Revascularization before Vascular Surgery
Landesberg G., Mosseri M., Fleisher L. A., Auer J., Lamm G., Eber B., Brett A. S., McFalls E. O., Ward H. B., Moritz T., Moscucci M., Eagle K. A.
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N Engl J Med 2005; 352:1492-1495, Apr 7, 2005. Correspondence

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