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Periprocedural Myocardial Infarction After Coronary Artery Bypass Grafting: Current Clinical Practices and Future Perspectives

Thursday, November 13, 2025

Submitted by

Vincent Sier

Source

Source Name: European Journal of Cardio-Thoracic Surgery

Source URL: https://pubmed.ncbi.nlm.nih.gov/41063612/

Author(s)

Brian Swinnen, Jules R Olsthoorn, Casper Mihl, Martijn W Smulders, Sandeep K Singh, Thomas van Brakel, Iwan C C van der Horst, Alma M A Mingels, Patrick O Myers, Arnoud W J van 'tHof, Anton P M Gorgels, Matthias Thielmann, Raffaele De Caterina, Rui J Cerqueira, Nikolaos Bonaros, Wouter Oosterlinck, Steven Jacobs, Roberto Lorusso, Elham Bidar, Joachim E Wildberger, Jos G Maessen, Mario Gaudino, Can Gollmann-Tepeköylü, Samuel Heuts

This international EACTS-endorsed survey assessed current practices and sought consensus on defining periprocedural myocardial infarction (PMI) after coronary artery bypass grafting (CABG). Among 175 respondents from 29 countries, 46.4 percent reported using a specific PMI definition, with the most common being the Universal Definition of Myocardial Infarction (UDMI-4). Proposed biomarker thresholds for PMI varied, depending on the presence of supporting imaging evidence. Respondents emphasized diagnostic sensitivity over specificity (79.8 percent vs 20.2 percent). The study reveals substantial heterogeneity in clinical practice and underscores the need for a standardized CABG-specific PMI definition with high diagnostic accuracy to ensure consistent reporting and clinical interpretation.