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For patients who underwent elective non-cardiac surgery, a history of stroke is associated with an increased risk of major adverse cardiovascular events and death, particularly if time elapsed between stroke and surgery is less than 9 months
  1. Murat Biteker
  1. Department of Cardiology, Faculty of Medicine, Muğla University, Turkey
  1. Correspondence to: Dr Murat Biteker, Faculty of Medicine, Muğla Sıtkı Koçman Üniversitesi, Tıp Fakültesi, Orhaniye Mah. Haluk Özsoy Cad, Muğla 48000, Turkey; murbit2{at}yahoo.com

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Context

Non-cardiac surgeries (NCS) performed in patients with a recent myocardial infarction or coronary stent implantation have been associated with increased risk of perioperative cardiac events and bleeding compared with patients with more distant myocardial infarction or stent placement.1 ,2 Whether a similar time-dependent relationship exists for stroke is not known, and recommendations on timing of surgery in patients with prior stroke in current perioperative guidelines are sparse. Jørgensen and colleagues investigated the association between prior stroke (including time elapsed between stroke and surgery) and the risk of major adverse cardiovascular events (MACE) and all-cause death up to 30 days after non-cardiac elective surgery in a group of Danish patients.

Methods

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