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Myocardial injury a...
Myocardial injury after noncardiac surgery: facts, fallacies and how to approach clinically
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- Chew, Michelle (författare)
- Linköpings universitet,Avdelningen för klinisk kemi och farmakologi,Medicinska fakulteten,Region Östergötland, ANOPIVA US
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- Puelacher, Christian (författare)
- Univ Basel, Switzerland
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(creator_code:org_t)
- LIPPINCOTT WILLIAMS & WILKINS, 2021
- 2021
- Engelska.
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Ingår i: Current Opinion in Critical Care. - : LIPPINCOTT WILLIAMS & WILKINS. - 1070-5295 .- 1531-7072. ; 27:6, s. 670-675
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Abstract
Ämnesord
Stäng
- Purpose of review Acute myocardial injury occurs commonly during perioperative care. There is still considerable confusion regarding its diagnosis and definition, and a lack of consensus on who and how to screen, exacerbated by a lack of studies addressing how to manage patients with detected myocardial injury. Recent findings Far from a benign biochemical anomaly, myocardial injury occurring perioperatively is largely a silent disease and is not necessarily because of ischaemia. Preoperative, postoperative, and perioperative changes in cardiac troponins (cTns) are independently associated with increased mortality and adverse cardiovascular outcomes. Routine screening with cTns is required for reliable detection of myocardial injury. Measurement of changes (from preoperative to postoperative) will detect acute events as well as identify patients with chronic troponin increases. This review aims to bring together current literature regarding myocardial injury that is detected perioperatively, identifies knowledge gaps for future research and provides suggestions for management.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
Nyckelord
- major adverse cardiovascular events; myocardial injury after noncardiac surgery; myocardial injury; perioperative
Publikations- och innehållstyp
- ref (ämneskategori)
- for (ämneskategori)
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