Perioperative myocardial infarction in noncardiac surgery: The diagnostic and prognostic role of cardiac troponins

S. Lucreziotti, C. Foroni, C. Fiorentini

Research output: Contribution to journalArticlepeer-review

Abstract

Despite the number of technologies used, the diagnosis of perioperative myocardial infarction is still a challenge. Studies conducted in surgical series have demonstrated that cardiac troponins (cTns) have both a superior diagnostic sensitivity and specificity, compared with other traditional techniques, and an independent power to predict short- and long-term prognosis. Nevertheless, some points need to be clarified. They include the usefulness of cTns in patients with end-stage renal failure; the standardization of the cTns cut-off for the diagnosis of myocardial injury; the timing of postoperative blood samplings; the cost-effectiveness of a screening in asymptomatic patients; and the possible therapeutic strategies.

Original languageEnglish
Pages (from-to)11-20
Number of pages10
JournalJournal of Internal Medicine
Volume252
Issue number1
DOIs
Publication statusPublished - 2002

Keywords

  • Cardiac risk stratification
  • Cardiac troponins
  • Myocardial infarction
  • Noncardiac surgery

ASJC Scopus subject areas

  • Internal Medicine

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