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Review Article

Acute Cardiac Complications after Total Joint Arthroplasty

Panji Sananta, Felix Cendikiawan, Alva Pribadi, Muhammad Abduh.


Total joint arthroplasty (TJA) surgery ought to be a common procedure recently following the high incidence and prevalence of osteoarthritis (OA). However, the risk of cardiac events as one of the complications after TJA surgery may be a threatening condition. Many risk factors may affect the possibility of cardiac complications occurring in patient. We critically reviewed the cardiac events after TJA surgery, and focused on myocardial infarct, cardiac arrest, and new onset of arrhythmia; we also reviewed the risk factors that may raise the possibilities of those complications present in patient. Some of the risk factors have been identified, like age, gender, obesity, comorbid disease, and type of arthroplasty. Risks of cardiovascular events following the surgery are present even though the risk is getting lower as the recent surgery approaches are improved. Some risk factors like age, gender, history of cardiac disease, hypertension, obesity, diabetes, and type of arthroplasty show a significant correlation with the postoperative cardiac complication. Comprehensive postoperative follow-up is needed to prevent threatening conditions in patients who had undergone TJA surgery.

Key words: Total joint arthroplasty, Total knee arthroplasty, Total hip arthroplasty, Cardiac complications, Myocardial infarction

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