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Member price: $0.00
Non-member price: $20.00

This course is a part of ANESTHESIOLOGY Journal CME 2014 Annual Subscription

Course Description

Member price: $0.00, Non-member price: $20.00

Myocardial Injury after Noncardiac Surgery: A Large, International, Prospective Cohort Study Establishing Diagnostic Criteria, Characteristics, Predictors, and 30-day Outcomes by the VISION Writing Group.

Accompanying editorial: TnT: Blowing the Cover from Perioperative Myocardial Injury by Bartels K, Sullivan BL, Eltzschig HK.

Summary: This month’s journal CME selection covers the topic of myocardial injury after noncardiac surgery (MINS), defined as prognostically relevant myocardial injury due to ischemia occurring during or within 30 days following noncardiac surgery. The study authors sought to determine diagnostic criteria, characteristics, predictors, and 30-day outcomes of MINS. The authors found that among adults undergoing noncardiac surgery, MINS is common and associated with substantial mortality.

The focus of ANESTHESIOLOGY Journal CME is to educate readers on current developments in the science and clinical practice of anesthesiology.

Learning Objectives:

After completing this activity the learner will be able to:

  • Identify the clinical characteristics of patients who experience myocardial injury after noncardiac surgery (MINS)
  • Recognize the ischemic features associated with MINS
  • Recognize the prognostic value of MINS on 30-day mortality

Faculty & Credentials:

Editor-in-Chief: James C. Eisenach, M.D., receives consulting fees from Adynxx, NeuroGesX, and Vertex.

CME Editors: Leslie C. Jameson, M.D., receives honoraria from Masimo and honoraria from GE Medical International. Dan J. Kopacz, M.D., has ownership in Solo-Dex LLC.

Authors: P.J. Devereaux, M.D., Ph.D., received other funding from Roche Diagnostics and Abbott Diagnostics for investigator-initiated studies. Peter Kavsak, Ph.D., received a reagents grant from Roche Diagnostics. All other authors that contributed to this article have reported no financial relationships with commercial interests.

Authors: Holger K. Eltzschig, M.D., Ph.D., received a grant from the Crohn’s and Colitis Foundation of America. Karsten Bartels, M.D., and Breandan L. Sullivan, M.D., have reported no financial relationships with commercial interests.

ASA Staff: Employees involved in planning have no financial relationships with commercial interests.

Resolution of Conflict of Interests:
In accordance with the ACCME Standards for Commercial Support of CME, the American Society of Anesthesiologists has implemented mechanisms, prior to the planning and implementation of this journal-based CME activity, to identify and resolve conflicts of interest for all individuals in a position to control content of this journal-based CME activity.

The information provided in this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a health care provider relative to diagnostic and treatment options of a specific patient’s medical condition.

Target Audience:

ANESTHESIOLOGY Journal CME is intended for anesthesiologists. Researchers and other health care professionals with an interest in anesthesiology may also participate.

CME Credit:

1.00 AMA PRA Category 1 Credit™

The American Society of Anesthesiologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Society of Anesthesiologists designates this journal-based CME activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

1.00 Non-physician Credit

Non-physicians may receive a Certificate of Completion stating that this activity was designated for 1.00 AMA PRA Category 1 Credit(s)™.


Anesthesiology’s Journal CME is open to all readers. To take part in Anesthesiology Journal-based CME, complete the following steps:

  1. Read the CME information presented on this page.
  2. Register at Non-members will be asked to provide payment.
  3. Read this month’s article designated for CME credit available online within the activity.
  4. Achieve a score of at least 50% correct on the six-question online journal CME quiz and complete the evaluation.
  5. Claim credit in15-minute increments, for a maximum of 1 AMA PRA Category 1 Credit™ per journal article.

Required Hardware / Software:

Adobe Acrobat Reader, Internet connection, web browser version must have been released within the last three years.

Activity Release Date:

02/17/2014 (All day)

Activity Expiration Date:

02/16/2017 (All day)

Estimated Time to Complete:

60 minutes