Doni Fajri
Riau University, IndonesiaPresentation Title:
Adverse event: Myocardial injury after non-cardiac surgery (MINS) post craniectomy in critical care
Abstract
Intracerebral Hemorrhage (ICH) is a life-threatening condition that can cause increased intracranial pressure and neurological deterioration. Decompressive craniectomy is an effective surgical intervention to reduce intracranial pressure in such cases. Myocardial Injury after Non-Cardiac Surgery (MINS) is defined as an elevation in cardiac troponin levels, with or without ischemic symptoms, occurring within 30 days postoperatively. We report the case of a 66-year-old male with hypertension who underwent emergency craniectomy for spontaneous ICH. Postoperatively, he developed ventricular tachycardia and elevated troponin I (453.0 ng/L), consistent with MINS. The patient was managed with anticoagulants, antiplatelet therapy, statins, and antiarrhythmic treatment, with close monitoring for potential rebleeding risk. He showed gradual clinical improvement, was successfully extubated on day 4, and transferred to the high care unit on day 6. This case highlights the importance of vigilance for cardiovascular complications such as MINS in critical care following neurosurgical interventions. Early recognition, multidisciplinary management, and careful risk–benefit assessment of anticoagulation are crucial to optimize outcomes.
Biography
Doni Fajri has completed his MD at the age of 22 years from Andalas University, Indonesia. He was a resident of Anesthesiology and Intensive Riau University, Indonesia.
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