Key result
Ultrasensitive cardiac troponin analysis in the first 48 hours postoperatively is crucial for the early diagnosis and prognosis of perioperative myocardial infarction in non-cardiac surgery.
Routine measurement of ultrasensitive troponin in the first 48 hours after non-cardiac surgery is essential for the early detection of perioperative myocardial infarction.
Answers are grounded in this paper and cite their sources.
May support troponin monitoring in first 48 hours after non-cardiac surgery; leaves open whether routine use improves outcomes.
Introduction: Perioperative medicine has provided anesthetists with a proactive role in the prevention of perioperative complications, in particular cardiovascular events such as myocardial injury after non-cardiac surgery. Objective: Using cardiovascular risk concepts, pre-operative assessment for non-cardiac surgery, optimization of the hemodynamic status, determination of differences between elective and urgent patients, monitoring, close follow-up after surgery, and measurements of ultrasensitive troponin in the first 48 hours postoperatively, anesthetists are now able to identify and address early clinical manifestations of perioperative ischemia and myocardial infarction (MI) in patients at risk. Materials and methods: Narrative review: Queries in various databases on perioperative ischemia and non-fatal infarction in Pubmed, Science Direct, and Ovid. Results: The analysis of cardiac troponin levels is of the utmost importance in the prognosis of perioperative MI. Diagnosis can be made earlier, and it has been shown that the majority of these perioperative events have their onset within the first 48 hours of the postoperative period, when the physiological stress is highest in patients taken to non-cardiac surgery. Resumen Introducción: La medicina perioperatoria ha permitido que el anestesiólogo asuma un rol proactivo en la prevención de las complicaciones perioperatorias, especialmente las cardiovasculares, entre ellas la lesión miocárdica que ocurre después de cirugía no cardiaca (MINS- Myocardial injury after noncardiac surgery). Objetivo: A partir de conceptos de riesgo cardiovascular, evaluación preoperatoria para cirugía no cardiaca, optimización del estado hemodinámico, establecimiento de diferencias entre pacientes programados y urgentes, monitoria, vigilancia estrecha de la evolución y toma de niveles de troponina ultrasensible en las primeras 48 horas del posoperatorio, el anestesiólogo ha logrado identificar e intervenir de manera precoz los cuadros clínicos relacionados con isquemia e infarto de miocardio perioperatorio en los pacientes de riesgo. Materiales y métodos: Revisión narrativa. Consulta de diferentes bases de datos sobre isquemia e infarto no fatal perioperatorio, en Pubmed, Science Direct y Ovid. Resultados: El análisis de los niveles de troponina cardiaca tiene gran importancia en el pronóstico del infarto de miocardio perioperatorio. El diagnóstico se hace más temprano y se ha demostrado que la mayoría de estos eventos perioperatorios inician en las primeras 48 horas del postoperatorio, momento del mayor estrés fisiológico en el paciente de cirugía no cardiaca.
No takes yet. Share an insight, caveat, or question.
Navarro-Vargas et al. (2018) conducted a review in Perioperative ischemia and myocardial infarction in non-cardiac surgery. Ultrasensitive cardiac troponin monitoring was evaluated on Early diagnosis and prognosis of perioperative myocardial infarction. Ultrasensitive cardiac troponin analysis in the first 48 hours postoperatively is crucial for the early diagnosis and prognosis of perioperative myocardial infarction in non-cardiac surgery.
Synapse has enriched 10 related papers. Consider them for comparative context: