RE: Myocardial Injury After Noncardiac Surgery and Perioperative Atrial Fibrillation: From Evidence to Clinical Practice

Abstract

In the perioperative medicine special issue, Borges et al. discussed aspects of myocardial injury after noncardiac surgery (MINS) care and recommend initiating aspirin and moderate-to-high dose statin in all patients diagnosed with MINS. One aspect of MINS management that was not discussed in the article was patients in whom MINS management might be different, such as with patients on dialysis. Borges et al. are not alone in this regard: the CCS perioperative guidelines do not mention any specific exclusions for the initiation of ASA and statin in patients diagnosed with MINS. However, there is insufficient evidence to recommend aspirin and statins in all patients with MINS, as exemplified by patients requiring dialysis.