Cardiac troponins demonstrate superior diagnostic sensitivity and specificity compared with traditional techniques, and independently predict short- and long-term prognosis in noncardiac surgery.
Does the measurement of cardiac troponins improve the diagnosis and prognostic assessment of perioperative myocardial infarction in patients undergoing noncardiac surgery?
Cardiac troponins provide superior diagnostic accuracy and prognostic value for perioperative myocardial infarction in noncardiac surgery compared to traditional methods.
Abstract. Lucreziotti S, Foroni C, Fiorentini C (Università degli Studi di Milano, Ospedale S. Pado, Milano, Italy). Perioperative myocardial infarction in noncardiac surgery: the diagnostic and prognostic role of cardiac troponins (Review). J Intern Med 2002; 252: 11–20. Despite the number of technologies used, the diagnosis of perioperative myocardial infarction is still a challenge. Studies conducted in surgical series have demonstrated that cardiac troponins (cTns) have both a superior diagnostic sensitivity and specificity, compared with other traditional techniques, and an independent power to predict short‐ and long‐term prognosis. Nevertheless, some points need to be clarified. They include the usefulness of cTns in patients with end‐stage renal failure; the standardization of the cTns cut‐off for the diagnosis of myocardial injury; the timing of postoperative blood samplings; the cost‐effectiveness of a screening in asymptomatic patients; and the possible therapeutic strategies.
Lucreziotti et al. (Fri,) conducted a review in Perioperative myocardial infarction in noncardiac surgery. Cardiac troponins vs. Traditional techniques was evaluated. Cardiac troponins demonstrate superior diagnostic sensitivity and specificity compared with traditional techniques, and independently predict short- and long-term prognosis in noncardiac surgery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: