Expert consensus on peri-operative myocardial injury screening in noncardiac surgery: A literature review.
Eur J Anaesthesiol
; 38(6): 600-608, 2021 Jun 01.
Article
in En
| MEDLINE
| ID: mdl-33653981
ABSTRACT
Peri-operative myocardial injury, detected by dynamic and elevated cardiac troponin (cTn) concentrations, is a common complication of noncardiac surgery that is strongly associated with 30-day mortality. Although active screening for peri-operative myocardial injury has been suggested in recent guidelines, clinical implementation remains tentative due to a lack of examples on how to tackle such an interdisciplinary project at a local level. Moreover, consensus on which assay and cTn cut-off values should be used has not yet been reached, and guidance on whom to screen is lacking. In this article, we aim to summarise local examples of successfully implemented cTn screening practices and review the current literature in order to provide information and suggestions for patient selection, organisation of a screening programme, caveats and a potential management pathway.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Consensus
Type of study:
Diagnostic_studies
/
Guideline
/
Screening_studies
Limits:
Humans
Language:
En
Journal:
Eur J Anaesthesiol
Journal subject:
ANESTESIOLOGIA
Year:
2021
Document type:
Article