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Pro-Con Debate: Cardiac Troponin Measurement as Part of Routine Follow-up of Myocardial Damage Following Noncardiac Surgery
Anesthesia & Analgesia ( IF 5.7 ) Pub Date : 2022-01-14 , DOI: 10.1213/ane.0000000000005714
Giovanna Lurati Buse 1 , Idit Matot 2
Affiliation  

lines on perioperative cardiac risk assessment and management for patients who undergo noncardiac surgery recommends measuring daily troponin for 48 to 72 hours after surgery in high-risk patients. Nevertheless, others doubt this recommendation, in part because postoperative elevated levels of troponin describe very little in terms of disease or event-specific pathogenesis and etiology, and thus, tailoring an intervention remains a challenge. This Pro-Con debate offers evidence-based data to stimulate physician understanding of daily practice and its significance in this matter, and assist in determining whether to use (Pro) or not to use (Con) this surveillance....

中文翻译:

正反辩论:心脏肌钙蛋白测量作为非心脏手术后心肌损伤常规随访的一部分

对于接受非心脏手术的患者,围手术期心脏风险评估和管理建议在高危患者术后 48 至 72 小时内每天测量肌钙蛋白。然而,其他人对此建议表示怀疑,部分原因是术后肌钙蛋白水平升高在疾病或事件特异性发病机制和病因方面的描述很少,因此,定制干预措施仍然是一个挑战。这场 Pro-Con 辩论提供了基于证据的数据,以激发医生对日常实践及其在此问题中的重要性的理解,并帮助确定是否使用 (Pro) 或不使用 (Con) 这种监测......
更新日期:2022-01-18
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