New Study Suggests Longer Wait for Surgeries Post-Heart Attack to Reduce Risks in Elderly

October 31, 2024
New Study Suggests Longer Wait for Surgeries Post-Heart Attack to Reduce Risks in Elderly
  • The research specifically focuses on the most common type of heart attack, NSTEMI, and aims to establish optimal timing for subsequent surgeries.

  • The study involved contributions from experts at URMC, RAND Health, Washington University, and others, receiving funding from the National Institute of Aging and various national institutes.

  • Findings indicate that most significant post-surgical complications occur within the first 30 days after surgery, with risks declining substantially during the first 90 days and leveling off over the next 180 days.

  • Current guidelines from the American College of Cardiology and American Heart Association recommend a 60-day wait after a heart attack before proceeding with elective surgeries, based on older data from 1999 to 2004.

  • Dr. Marjorie Gloff, a co-author of the study, noted the frustration experienced by patients needing to postpone elective surgeries, such as knee or hip replacements, after a heart attack.

  • Research from the University of Rochester highlights that delaying elective noncardiac surgeries for aging adults by three to six months after a heart attack can significantly reduce the risk of life-threatening complications.

  • Lead author Dr. Laurent Glance emphasizes that these guidelines are outdated and should be revised to reflect advancements in patient care and the diverse health profiles of today's patients.

  • Ultimately, the findings from this study may lead to significant changes in clinical decision-making for elective surgeries in high-risk elderly populations.

  • The study analyzed data from the Medicare database, covering 5.2 million surgeries performed on patients aged 67 and older between 2017 and 2020, specifically focusing on those who experienced a non-ST-segment elevation myocardial infarction (NSTEMI).

  • The study advocates for updated decision-making guidelines for surgical procedures following heart attacks to better align with current medical practices and demographic changes.

  • Aging patients often present multiple health issues, complicating the decision-making process regarding the timing of surgeries to ensure optimal quality of life.

  • The research suggests that waiting longer than 180 days post-heart attack may be beneficial for patient outcomes, as risk levels stabilize after this period.

Summary based on 3 sources


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