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Perioperative myocardial infarction in noncardiac surgery: the diagnostic and prognostic role of cardiac troponins
Author(s) -
LUCREZIOTTI S.,
FORONI C.,
FIORENTINI C.
Publication year - 2002
Publication title -
journal of internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.625
H-Index - 160
eISSN - 1365-2796
pISSN - 0954-6820
DOI - 10.1046/j.1365-2796.2002.01006.x
Subject(s) - medicine , perioperative , myocardial infarction , asymptomatic , troponin , cardiology , myocardial infarction diagnosis , intensive care medicine , surgery
. Lucreziotti S, Foroni C, Fiorentini C (Università degli Studi di Milano, Ospedale S. Pado, Milano, Italy). Perioperative myocardial infarction in noncardiac surgery: the diagnostic and prognostic role of cardiac troponins (Review). J Intern Med 2002; 252: 11–20. 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.