Peri-operative cardiac biomarker screening: a narrative review.
peri-operative cardiac biomarkers
peri-operative risk estimation
troponin
Journal
Anaesthesia
ISSN: 1365-2044
Titre abrégé: Anaesthesia
Pays: England
ID NLM: 0370524
Informations de publication
Date de publication:
01 2020
01 2020
Historique:
accepted:
29
09
2019
entrez:
7
1
2020
pubmed:
7
1
2020
medline:
23
1
2020
Statut:
ppublish
Résumé
Peri-operative risk estimation has traditionally focused on assessing the likelihood of postoperative morbidity and mortality using pre-operative functional assessment. Although this strategy is currently recommended by most major society guidelines, contemporary evidence suggests that cardiac biomarker measurement has important advantages over pre-operative functional assessment. These advantages include superior predictive discrimination and inclusion of the postoperative course in risk estimation. In this review, we provide an overview of the evidence supporting the peri-operative utilisation, compare risk estimation methods and discuss which patients may benefit most from cardiac biomarker screening. We also discuss protocols for biomarker screening and management of patients with abnormal results.
Substances chimiques
Biomarkers
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e165-e173Informations de copyright
© 2020 Association of Anaesthetists.
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