Perioperative troponin surveillance in major noncardiac surgery - a narrative review

Michelle S Chew; Bernd Saugel; Giovanna Lurati-Buse

doi:10.1016/j.bja.2022.08.041

Perioperative troponin surveillance in major noncardiac surgery - a narrative review

Standard

Perioperative troponin surveillance in major noncardiac surgery - a narrative review. / Chew, Michelle S; Saugel, Bernd; Lurati-Buse, Giovanna.

in: BRIT J ANAESTH, Jahrgang 130, Nr. 1, 01.2023, S. 21-28.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung

Harvard

Chew, MS, Saugel, B & Lurati-Buse, G 2023, 'Perioperative troponin surveillance in major noncardiac surgery - a narrative review', BRIT J ANAESTH, Jg. 130, Nr. 1, S. 21-28. https://doi.org/10.1016/j.bja.2022.08.041

APA

Chew, M. S., Saugel, B., & Lurati-Buse, G. (2023). Perioperative troponin surveillance in major noncardiac surgery - a narrative review. BRIT J ANAESTH, 130(1), 21-28. https://doi.org/10.1016/j.bja.2022.08.041

Vancouver

Chew MS, Saugel B, Lurati-Buse G. Perioperative troponin surveillance in major noncardiac surgery - a narrative review. BRIT J ANAESTH. 2023 Jan;130(1):21-28. https://doi.org/10.1016/j.bja.2022.08.041

Bibtex

@article{00c8383e42be4d119dd2ce43d968face,

title = "Perioperative troponin surveillance in major noncardiac surgery - a narrative review",

abstract = "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.",

keywords = "Humans, Troponin, Perioperative Care, Risk Assessment, Postoperative Complications/diagnosis",

author = "Chew, {Michelle S} and Bernd Saugel and Giovanna Lurati-Buse",

year = "2023",

month = jan,

doi = "10.1016/j.bja.2022.08.041",

language = "English",

volume = "130",

pages = "21--28",

journal = "BRIT J ANAESTH",

issn = "0007-0912",

publisher = "Oxford University Press",

number = "1",

}

RIS

TY - JOUR

T1 - Perioperative troponin surveillance in major noncardiac surgery - a narrative review

AU - Chew, Michelle S

AU - Saugel, Bernd

AU - Lurati-Buse, Giovanna

PY - 2023/1

Y1 - 2023/1

N2 - 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.

AB - 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.

KW - Humans

KW - Troponin

KW - Perioperative Care

KW - Risk Assessment

KW - Postoperative Complications/diagnosis

U2 - 10.1016/j.bja.2022.08.041

DO - 10.1016/j.bja.2022.08.041

M3 - SCORING: Review article

C2 - 36464518

VL - 130

SP - 21

EP - 28

JO - BRIT J ANAESTH

JF - BRIT J ANAESTH

SN - 0007-0912

IS - 1

ER -