Date of Award

8-2007

Document Type

Graduate Project

Degree Name

Master of Science in Nursing (MSN)

Abstract

Purpose: To study perioperative myocardial infarction (Ml), increasing the knowledge about predictors and early signs can help one to intervene and lessen the effects of perioperative MI. A review of related studies is included, along with definitions concerning MI. The theoretical framework of the study is Neuman's Health Systems Model.

Methods: MEDLINE (1990 to May 2007), Pubmed (1990 to May 2002), and bibliographies of included articles were searched without language restriction. The articles researched are those concerned with individuals having a perioperative MI and current research concerned with those who are considered at risk for MI. Twenty-one studies and three current medical texts were reviewed and viewed as pertinent to this research, six articles, involving over 40,000 patients and three medical texts concerning myocardial infarction and fifteen research articles concerning perioperative myocardial infarction, involving over 11,500 patients.

Results: There are numerous studies concerning perioperative myocardial infarction and myocardial infarction in general. Findings concerning these different studies are varied, and yet similar in some respects.

Conclusion: There are a number of different factors that can be included in the list of risk factors for cardiac disease and risk of myocardial ischemia/infarction. Each piece of research has different risk factors that are stressed, but it is the same factors that are indicated. These include, but are not limited to, in no specific order: diabetes, abdominal obesity, fruit consumption, vegetable consumption, alcohol intake, physical activity, age, gender, total cholesterol, HDL cholesterol, smoking status, systolic blood pressure, Creactive protein, family history, ECG, and type of surgery

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