Why the study?
Does surveillance by means of intraoperative cardiac monitoring and postoperative serial electrocardiograms (ECGs) and troponins improve detection of perioperative myocardial infarctions in noncardiac surgical patients?
Population
Unselected noncardiac surgical patients, specifically vascular surgery patients and those at risk for…
Design
Review
Authors
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Supports selective troponin surveillance in high-risk noncardiac surgery; leaves open whether routine monitoring improves outcomes.
Does surveillance by means of intraoperative cardiac monitoring and postoperative serial electrocardiograms (ECGs) and troponins improve detection of perioperative myocardial infarctions in noncardiac surgical patients?
Perioperative surveillance with serial ECGs and troponins is recommended for vascular surgery patients and those at risk for coronary artery disease to detect potentially silent myocardial infarctions.
Wright et al. (2008) studied this question.
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