Detection and management of perioperative myocardial ischemia

被引：14

作者：

Biccard, Bruce M. ^{[1
]}

机构：

[1] Univ KwaZulu Natal, Dept Anaesthet, Nelson R Mandela Sch of Med, Perioperat Res Grp, Durban, Kwazulu Natal, South Africa

来源：

CURRENT OPINION IN ANESTHESIOLOGY | 2014年 / 27卷 / 03期

基金：

英国医学研究理事会;

关键词：

cardiovascular diseases; mortality; surgery; troponins; NONCARDIAC SURGERY; TROPONIN LEVELS; INFARCTION; INJURY; ASSOCIATION; PREDICTORS; RISK;

D O I：

10.1097/ACO.0000000000000071

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Purpose of reviewTo review the current evidence for detection and management of perioperative myocardial ischemia.Recent findingsPatients who sustain a myocardial injury after noncardiac surgery are predominantly asymptomatic. Myocardial injury after noncardiac surgery is associated with both short-term and long-term mortality. Mortality from both cardiac and noncardiac causes is significant.SummaryPerioperative physicians should refrain from the use of nonsurgical diagnostic criteria for myocardial infarction and adopt the clinical entity known as myocardial injury after noncardiac surgery in order to allow for better determination of the prevalence of this perioperative complication. Studies should focus on establishing the feasibility of broad postoperative troponin surveillance following noncardiac surgery. Clinical trials of potential therapies for myocardial injury after noncardiac surgery are urgently needed.

引用

页码：336 / 343

页数：8

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