Key result
High sensitivity cardiac troponin analysis may help identify perioperative myocardial ischemia and infarction after noncardiac surgery, even without classic symptomatology.
Why the study?
Does high sensitivity cardiac troponin (hs-cTnT) analysis help identify risks of acute myocardial infarction and myocardial ischemia in the perioperative period of noncardiac surgery?
Does high sensitivity cardiac troponin (hs-cTnT) analysis help identify risks of acute myocardial infarction and myocardial ischemia in the perioperative period of noncardiac surgery?
High sensitivity cardiac troponin analysis may provide important clues regarding myocardial ischemia and infarction in the perioperative period of noncardiac surgery, even in the absence of classic symptoms.
Answers are grounded in this paper and cite their sources.
May facilitate earlier recognition of silent perioperative myocardial injury; leaves open whether hs-cTnT screening improves outcomes.
Although Acute Myocardial Infarct (AMI) from its classic symptomatology added or not to electrocardiographic changes is a significant cause of perioperative associated mortality, when it is only plotted from the enzymatic curve, recent data points towards the existence of similar mortality. Considered as a biological marker of a more recent generation, the high sensitivity cardiac troponin (hs-cTnT) analysis may give clues on whether a rupture of the oxygen (O2) is occurring or not offer and demand balance, without any association with other manifestations, which opens a gap to be investigated, when the diagnostic search after myocardial ischemia (MI), something that is not done unless the patient is under high risk or has a confirmed history of Coronary Artery Disease (CAD). This review explores the possible associated factors when analyzing the risks of AMI and MI in the perioperative period.
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Amorim et al. (2017) conducted a review in Perioperative myocardial ischemia and infarction after noncardiac surgery. High sensitivity cardiac troponin (hs-cTnT) analysis was evaluated. High sensitivity cardiac troponin analysis may help identify perioperative myocardial ischemia and infarction after noncardiac surgery, even without classic symptomatology.
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