Biomarker-Based Preoperative Risk Stratification for Patients Undergoing Non-Cardiac Surgery
Autor: | Miodrag Filipovic, Timur Yurttas, Reka Hidvegi |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Cardiac biomarkers Preoperative risk Infarction lcsh:Medicine 030204 cardiovascular system & hematology Article 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology cardiac biomarkers mental disorders medicine Cardiac risk Intensive care medicine business.industry lcsh:R General Medicine Perioperative medicine.disease Non cardiac surgery cardiovascular system Biomarker (medicine) Treatment strategy business preoperative risk stratification perioperative myocardial infarction/injury |
Zdroj: | Journal of Clinical Medicine Journal of Clinical Medicine, Vol 9, Iss 2, p 351 (2020) Volume 9 Issue 2 |
ISSN: | 2077-0383 |
Popis: | Perioperative morbidity and mortality remains a substantial problem and is strongly associated with patients&rsquo cardiac comorbidities. Guidelines for the cardiovascular assessment and management of patients at risk of cardiac issues while undergoing non-cardiac surgery are traditionally based on the exclusion of active or unstable cardiac conditions, determination of the risk of surgery, the functional capacity of the patient, and the presence of cardiac risk factors. In the last two decades, strong evidence showed an association between cardiac biomarkers and adverse cardiac events, with newer guidelines incorporating this knowledge. This review describes a biomarker-based risk-stratification pathway and discusses potential treatment strategies for patients suffering from postoperative myocardial injury or infarction. |
Databáze: | OpenAIRE |
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