Key result
Myocardial injury after non-cardiac surgery, characterized by an isolated increase in troponin, occurs in 5% to 25% of patients and is associated with poor short- and long-term prognosis.
Why the study?
Is there a need for perioperative assessment of troponin levels in non-cardiac interventions?
Is there a need for perioperative assessment of troponin levels in non-cardiac interventions?
This review highlights the high incidence (5-25%) of myocardial injury after non-cardiac surgery (MINS) detected by troponin screening and its association with poor prognosis, discussing current screening and treatment proposals.
Routine troponin screening post non-cardiac surgery detects MINS tied to worse outcomes; extends evidence for targeted perioperative trials.
The rate of cardiac events (myocardial infarction, death) in non-cardiac surgery is about 2% to 3%. However, increase in troponin is noted much more often from 5% to 25% of patients. Such an isolated increase in troponin in the absence of criteria for myocardial infarction is also called "myocardial injury after non-cardiac surgery". This condition is associated with poor prognosis directly after surgery and in the long term. Current data on screening troponin level after surgery and proposals for the treatment of patients with elevated levels are presented. Different points of view on the issue are discussed. This allows more fully illuminating the problem and helping the clinician in treatment of these patients.
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А. Н. Сумин (2015) conducted a review in Myocardial injury after non-cardiac surgery. Perioperative assessment of troponin level was evaluated. Myocardial injury after non-cardiac surgery, characterized by an isolated increase in troponin, occurs in 5% to 25% of patients and is associated with poor short- and long-term prognosis.
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