Perioperative troponin surveillance in major noncardiac surgery: a narrative review

被引:17
作者
Chew, Michelle S. [1 ,2 ,3 ]
Saugel, Bernd [4 ,5 ]
Lurati-Buse, Giovanna [6 ]
机构
[1] Linkoping Univ, Dept Anaesthes & Intens Care, Linkoping, Sweden
[2] Linkoping Univ, Dept Biomed, Linkoping, Sweden
[3] Linkoping Univ, Dept Clin Sci, Linkoping, Sweden
[4] Univ Med Ctr Hamburg Eppendorf, Ctr Anesthesiol & Intens Care Med, Dept Anesthesiol, Hamburg, Germany
[5] Outcomes Res Consortium, Cleveland, OH USA
[6] Univ Hosp Dusseldorf, Dept Anaesthesiol, Dusseldorf, Germany
基金
瑞典研究理事会; 欧盟地平线“2020”;
关键词
biomarker; cardiac troponins; MINS; myocardial injury; noncardiac surgery; perioperative outcome; MYOCARDIAL INJURY; PREOPERATIVE ANEMIA; SHORT-TERM; MORTALITY; COMPLICATIONS; ASSOCIATION; MULTICENTER; PREDICTION; MANAGEMENT; ELEVATION;
D O I
10.1016/j.bja.2022.08.041
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Myocardial injury is now an acknowledged complication in patients undergoing noncardiac surgery. Heterogeneity in the definitions of myocardial injury contributes to difficulty in evaluating the value of cardiac troponins (cTns) measurement in perioperative care. Pre-, post-, and peri-operatively increased cTns are encompassed by the umbrella term 'myocardial injury' and are likely to reflect different pathophysiological mechanisms. Increased cTns are independently associated with cardiovascular and non-cardiovascular complications, poor short-term and long-term cardiovascular outcomes, and increased mortality. Preoperative measurement of cTns aids preoperative risk stratification beyond the Revised Cardiac Risk Index. Systematic measurement detects acute perioperative increases and allows early identification of acute myocardial injury. Common definitions and standards for reporting are a prerequisite for designing impactful future trials and perioperative management strategies.
引用
收藏
页码:21 / 28
页数:8
相关论文
共 46 条
[1]   A Prospective International Multicentre Cohort Study of Intraoperative Heart Rate and Systolic Blood Pressure and Myocardial Injury After Noncardiac Surgery: Results of the VISION Study [J].
Abbott, Tom E. F. ;
Pearse, Rupert M. ;
Archbold, R. Andrew ;
Ahmad, Tahania ;
Niebrzegowska, Edyta ;
Wragg, Andrew ;
Rodseth, Reitze N. ;
Devereaux, Philip J. ;
Ackland, Gareth L. .
ANESTHESIA AND ANALGESIA, 2018, 126 (06) :1936-1945
[2]   Early elevation in plasma high-sensitivity troponin T and morbidity after elective noncardiac surgery: prospective multicentre observational cohort study [J].
Ackland, Gareth L. ;
Abbott, Tom E. F. ;
Jones, Timothy F. ;
Leuwer, Martin ;
Pearse, Rupert M. .
BRITISH JOURNAL OF ANAESTHESIA, 2020, 124 (05) :535-543
[3]   Systematic review and consensus definitions for the Standardized Endpoints in Perioperative Medicine (StEP) intiative: cardiovascular outcomes [J].
Beattie, W. Scott ;
Lalu, Manoj ;
Bocock, Matthew ;
Feng, Simon ;
Wijeysundera, Duminda N. ;
Nagele, Peter ;
Fleisher, Lee A. ;
Kurz, Andrea ;
Biccard, Bruce ;
Leslie, Kate ;
Howell, Simon ;
Landoni, Giovani ;
Grocott, Hilary ;
Lamy, Andre ;
Richards, Toby ;
Myles, Paul .
BRITISH JOURNAL OF ANAESTHESIA, 2021, 126 (01) :56-66
[4]   Implication of Major Adverse Postoperative Events and Myocardial Injury on Disability and Survival: A Planned Subanalysis of the ENIGMA-II Trial [J].
Beattie, W. Scott ;
Wijeysundera, Duminda N. ;
Chan, Matthew T. V. ;
Peyton, Philip J. ;
Leslie, Kate ;
Paech, Michael J. ;
Sessler, Daniel I. ;
Wallace, Sophie ;
Myles, Paul S. .
ANESTHESIA AND ANALGESIA, 2018, 127 (05) :1118-1126
[5]   Myocardial Injury after Noncardiac Surgery A Large, International, Prospective Cohort Study Establishing Diagnostic Criteria, Characteristics, Predictors, and 30-day Outcomes [J].
Botto, Fernando ;
Alonso-Coello, Pablo ;
Chan, Matthew T. V. ;
Carlos Villar, Juan ;
Xavier, Denis ;
Srinathan, Sadeesh ;
Guyatt, Gordon ;
Cruz, Patricia ;
Graham, Michelle ;
Wang, C. Y. ;
Berwanger, Otavio ;
Pearse, Rupert M. ;
Biccard, Bruce M. ;
Abraham, Valsa ;
Malaga, German ;
Hillis, Graham S. ;
Rodseth, Reitze N. ;
Cook, Deborah ;
Polanczyk, Carisi A. ;
Szczeklik, Wojciech ;
Sessler, Daniel I. ;
Sheth, Tej ;
Ackland, Gareth L. ;
Leuwer, Martin ;
Garg, Amit X. ;
LeManach, Yannick ;
Pettit, Shirley ;
Heels-Ansdell, Diane ;
LuratiBuse, Giovanna ;
Walsh, Michael ;
Sapsford, Robert ;
Schuenemann, Holger J. ;
Kurz, Andrea ;
Thomas, Sabu ;
Mrkobrada, Marko ;
Thabane, Lehana ;
Gerstein, Hertzel ;
Paniagua, Pilar ;
Nagele, Peter ;
Raina, Parminder ;
Yusuf, Salim ;
Devereaux, P. J. ;
McQueen, Matthew J. ;
Bhandari, Mohit ;
Bosch, Jackie ;
Buckley, Norman ;
Chow, Clara K. ;
Halliwell, Richard ;
Li, Stephen ;
Lee, Vincent W. .
ANESTHESIOLOGY, 2014, 120 (03) :564-578
[6]   High-Sensitivity Cardiac Troponin T Improves the Diagnosis of Perioperative MI [J].
Brown, Jamie C. ;
Samaha, Eslam ;
Rao, Srikar ;
Helwani, Mohammad A. ;
Duma, Andreas ;
Brown, Frank ;
Gage, Brian F. ;
Miller, J. Philip ;
Jaffe, Allan S. ;
Apple, Fred S. ;
Scott, Mitchell G. ;
Nagele, Peter .
ANESTHESIA AND ANALGESIA, 2017, 125 (05) :1455-1462
[7]   Pro-Con Debate: Cardiac Troponin Measurement as Part of Routine Follow-up of Myocardial Damage Following Noncardiac Surgery [J].
Buse, Giovanna Lurati ;
Matot, Idit .
ANESTHESIA AND ANALGESIA, 2022, 134 (02) :257-265
[8]   Troponin T monitoring to detect myocardial injury after noncardiac surgery: a cost-consequence analysis [J].
Buse, Giovanna Lurati ;
Manns, Braden ;
Lamy, Andre ;
Guyatt, Gordon ;
Polanczyk, Carisi A. ;
Chan, Matthew T. V. ;
Wang, Chew Yin ;
Villar, Juan Carlos ;
Sigamani, Alben ;
Sessler, Daniel I. ;
Berwanger, Otavio ;
Biccard, Bruce M. ;
Pearse, Rupert ;
Urrutia, Gerard ;
Szczeklik, R. Wojciech ;
Garutti, Ignacio ;
Srinathan, Sadeesh ;
Malaga, German ;
Abraham, Valsa ;
Chow, Clara K. ;
Jacka, Michael J. ;
Tiboni, Maria ;
Ackland, Gareth ;
Macneil, Danielle ;
Sapsford, Robert ;
Leuwer, Martin ;
Le Manach, Yannick ;
Devereaux, Philip J. .
CANADIAN JOURNAL OF SURGERY, 2018, 61 (03) :185-194
[9]   Identification of myocardial injury using perioperative troponin surveillance in major noncardiac surgery and net benefit over the Revised Cardiac Risk Index [J].
Chew, Michelle S. ;
Puelacher, Christian ;
Patel, Akshaykumar ;
Hammarskjold, Fredrik ;
Lyckner, Sara ;
Kollind, Malin ;
Jawad, Monir ;
Andersson, Ulrika ;
Fredrikson, Mats ;
Sperber, Jesper ;
Johnsson, Patrik ;
Elander, Louise ;
Zeuchner, Jakob ;
Linhardt, Michael ;
De Geer, Lina ;
Rolander, Wictor Gaaw ;
Gagno, Gunilla ;
Didriksson, Helen ;
Pearse, Rupert ;
Mueller, Christian ;
Andersson, Henrik .
BRITISH JOURNAL OF ANAESTHESIA, 2022, 128 (01) :26-36
[10]   Pre-operative evaluation of adults undergoing elective noncardiac surgery Updated guideline from the European Society of Anaesthesiology [J].
De Hert, Stefan ;
Staender, Sven ;
Fritsch, Gerhard ;
Hinkelbein, Jochen ;
Afshari, Arash ;
Bettelli, Gabriella ;
Bock, Matthias ;
Chew, Michelle S. ;
Coburn, Mark ;
De Robertis, Edoardo ;
Drinhaus, Hendrik ;
Feldheiser, Aarne ;
Geldner, Gotz ;
Lahner, Daniel ;
Macas, Andrius ;
Neuhaus, Christopher ;
Rauch, Simon ;
Santos-Ampuero, Maria Angeles ;
Solca, Maurizio ;
Tanha, Nima ;
Traskaite, Vilma ;
Wagner, Gernot ;
Wappler, Frank .
EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2018, 35 (06) :407-465