Key result
Preoperative high-sensitive cardiac troponin T ≥17.8 ng/L and a perioperative change ≥6.3 ng/L were independently associated with major adverse cardiac events in vascular surgery patients.
Why the study?
Do perioperative levels and changes of high-sensitivity troponin T predict major adverse cardiac events in patients undergoing open vascular surgery?
Observational (n=455)
No
Do perioperative levels and changes of high-sensitivity troponin T predict major adverse cardiac events in patients undergoing open vascular surgery?
Preoperative levels and perioperative changes in high-sensitivity troponin T independently predict 30-day major adverse cardiac events in patients undergoing open vascular surgery, improving the predictive accuracy of the Revised Cardiac Risk Index.
May enhance vascular surgery risk stratification beyond RCRI; leaves open need for prospective validation before practice change.
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Gillmann et al. (2014) conducted an observational in Open vascular surgery (n=455). High-sensitive cardiac troponin T measurement was evaluated on Major adverse cardiac events (cardiovascular death, myocardial infarction, and ischemia). Preoperative high-sensitive cardiac troponin T ≥17.8 ng/L and a perioperative change ≥6.3 ng/L were independently associated with major adverse cardiac events in vascular surgery patients.
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