Myocardial Injury After Major Head and Neck Surgery

This cohort study found that myocardial injury was common among patients undergoing major head and neck surgery, especially those aged 75 years or older and those with comorbidities. Nearly 70% of MINS cases go undetected without TnT monitoring, and MINS may contribute to worse 30-day postoperative mortality and prolonged LOHS. Further prospective validation is needed to evaluate the role of MINS screening in improving clinical outcomes after major head and neck surgery.

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Publication Details

Journal
JAMA Otolaryngology–Head & Neck Surgery
Published
2025-04-24
DOI
https://doi.org/10.1001/jamaoto.2025.0656
Citations
4
Primary Topic
Cardiac, Anesthesia and Surgical Outcomes
Type
article
Field-Weighted Citation Impact
5.55
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article

Myocardial Injury After Major Head and Neck Surgery

Amit X. Garg, Sameer Parpia, Michael Au, Diane Heels‐Ansdell et al.
4 citations
JAMA Otolaryngology–Head & Neck Surgery
Cardiac, Anesthesia and Surgical Outcomes
5.55
article

Myocardial Injury After Major Head and Neck Surgery

Amit X. Garg, Sameer Parpia, Michael Au, Diane Heels‐Ansdell, S. Danielle MacNeil, Matthew T.V. Chan, Gareth L. Ackland, P.J. Devereaux, Carísi Anne Polanczyk, Phillip Staibano, Michael K. Gupta, Mohit Bhandari, Jason Walter Busse, Benjamin D. van der Woerd, Michael Xie, Han Zhang, David Choi, Egehan Salepci, Ashaka Patel, J. E. M. Young
article en
4 citations

Abstract

This cohort study found that myocardial injury was common among patients undergoing major head and neck surgery, especially those aged 75 years or older and those with comorbidities. Nearly 70% of MINS cases go undetected without TnT monitoring, and MINS may contribute to worse 30-day postoperative mortality and prolonged LOHS. Further prospective validation is needed to evaluate the role of MINS screening in improving clinical outcomes after major head and neck surgery.

JAMA Otolaryngology–Head & Neck SurgeryVol. 151(7)
Western University (CA), Universidade Federal do Rio Grande (BR), Universidade Federal do Rio Grande do Sul (BR), Lawson Health Research Institute (CA), Queen Mary University of London (GB), Chinese University of Hong Kong (HK), London Health Sciences Centre (CA), Erzurum Regional Training and Research Hospital (TR), Sağlık Bilimleri Üniversitesi (TR), William Harvey Research Institute (GB), Impact (CA), McMaster University (CA)
Good health and well-being
Openalex Percentile: Top 4%
Cardiac, Anesthesia and Surgical Outcomes
5.55
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