Ischemia and perioperative infarction

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Abstract

Introduction:

Perioperative medicine has provided anesthetists with a proactive role in the prevention of perioperative complications, in particular cardiovascular events such as myocardial injury after non-cardiac surgery.

Objective:

Using cardiovascular risk concepts, pre-operative assessment for non-cardiac surgery, optimization of the hemodynamic status, determination of differences between elective and urgent patients, monitoring, close follow-up after surgery, and measurements of ultrasensitive troponin in the first 48 hours postoperatively, anesthetists are now able to identify and address early clinical manifestations of perioperative ischemia and myocardial infarction (MI) in patients at risk.

Materials and methods:

Narrative review: Queries in various databases on perioperative ischemia and non-fatal infarction in Pubmed, Science Direct, and Ovid.

Results:

The analysis of cardiac troponin levels is of the utmost importance in the prognosis of perioperative MI. Diagnosis can be made earlier, and it has been shown that the majority of these perioperative events have their onset within the first 48 hours of the postoperative period, when the physiological stress is highest in patients taken to non-cardiac surgery.

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