Diagnosis, Incidence, and Clinical Implications of Perioperative Myocardial Injury in Vascular Surgery

Conclusions:
This study emphasizes the high incidence of perioperative myocardial injury and stress in vascular surgery as revealed by the use of the robust and very sensitive biomarker of myocardial damage, hsTnT. The high availability and swift development of increasingly sensitive assays allow detection of abnormal elevated hsTnT levels in a higher proportion of the population. Consequent challenges are the reduced specificity to separate acute events as well as to deduce the prognostic value of elevations due to confusing criteria; this is especially the case in a patient group with multiple comorbidities that affect hsTnT levels chronically.

Source: Vascular and Endovascular Surgery - May 9, 2016 Category: Surgery Authors: Thomas, K. N., Cotter, J. D., Williams, M. J. A., van Rij, A. M. Tags: Original Manuscripts Source Type: research