Risk of Postoperative Major Adverse Cardiovascular Events After Dermatologic Surgery After Recent Myocardial Infarction
Han J. Li, Akshitha Thatiparthi, Navid Farahbakhsh, Abel TorresBACKGROUND
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.