Risk of Postoperative Major Adverse Cardiovascular Events After Dermatologic Surgery After Recent Myocardial Infarction

BACKGROUND: Dermatologic surgery is classified as very low risk by the American College of Cardiology/American Heart Association. Limited evidence evaluates the risk of major adverse cardiovascular events after dermatologic surgery within 1 year of myocardial infarction. OBJECTIVE: To determine major adverse cardiovascular event risk after dermatologic surgery within 1 year of myocardial infarction. Outcomes were compared with cataract surgery and endoscopies, which are also considered very low risk procedures. MATERIALS AND METHODS: Using the All of Us Research Program V8, nationwide database of 633,000 patients, the authors performed a retrospective study from 2018 to 2023. CPT and ICD-10 codes were used to retrieve data. RESULTS: Out of 308 procedures, 3 (0.97%) major adverse cardiovascular events were observed within the 30-day postoperative window in patients with or without a history of myocardial infarction. Patients undergoing procedures postmyocardial infarction appeared more likely to experience major adverse cardiovascular events than those without prior myocardial infarction (4.9% vs 0%), although not significantly more so than patients with myocardial infarction without procedures. CONCLUSION: The authors' findings are consistent with the low risk of dermatologic procedures in patients with myocardial infarction, although they are limited by the low number of major adverse cardiovascular events.