Myocardial injury in non-cardiac surgery: complexities and challenges
نویسندگان
چکیده
منابع مشابه
The aetiology of myocardial injury after non-cardiac surgery
Recognition of myocardial injury after non-cardiac surgery is difficult, since strong analgesics (e.g. opioids) can mask anginal symptoms, and ECG abnormalities are subtle or transient. Thorough knowledge of the pathophysiological mechanisms is therefore essential. These mechanisms can be subdivided into four groups: type I myocardial infraction (MI), type II MI, non-ischaemic cardiac pathology...
متن کاملAssociation between intraoperative heart rate and postoperative myocardial injury in patients following non-cardiac surgery
Introduction Approximately 10% patients who undergo non-cardiac surgery show biochemical evidence of myocardial injury, which is associated with cardiac complications and death [1]. The aetiology and mechanisms of perioperative myocardial injury are incompletely understood. Observational studies have described associations between perioperative tachycardia and postoperative cardiac complication...
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Cold agglutinins are of unique relevance in cardiac surgerybecause of the use of hypothermic cardiopulmonary bypass (CPB). Cold autoimmune diseases are defined by the presence of abnormal circulating proteins (usually IgM or IgA antibodies) that agglutinate in response to a decrease in body temperature. These disorders include cryoglobulinemia and cold hemagglutinin disease.Immunoglobulin M aut...
متن کامل[Myocardial protection in cardiac surgery.].
BACKGROUND AND OBJECTIVES Myocardial protection defines the set of strategies aiming at attenuating the intensity of myocardial ischemia-reperfusion injury during heart surgery and its harmful consequences on myocardial function. A better understanding of pathophysiological phenomena related to ischemia-reperfusion events and of the anesthetic-induced heart protection has given to the anesthesi...
متن کاملMyocardial injury after noncardiac surgery.
PURPOSE OF REVIEW Recent investigations have substantially improved our understanding of myocardial injury after noncardiac surgery (MINS). RECENT FINDINGS MINS is defined as a prognostically relevant myocardial injury due to ischemia that occurs during or within 30 days after noncardiac surgery. MINS occurs in 8% of adults undergoing major noncardiac surgery and is diagnosed with an elevated...
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ژورنال
عنوان ژورنال: Singapore Medical Journal
سال: 2020
ISSN: 0037-5675
DOI: 10.11622/smedj.2020004