P223 MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY (MINS): A RETROSPECTIVE ANALISYS OF OUR LAST TWO YEARS OF WORK

Abstract Introduction Myocardial injury is defined as an elevation of troponin due to ischemic causes, with or without clinical signs. In the myocardial after noncardiac surgery (MINS), usually occurs signs ischemia. The etiology this perioperative pathology, in most cases based on a mismatch between oxigen supply and demand. Recently, expert consensus european guidelines suggest implementation diagnostic tools for perioperatory screening patients at risk MINS. Aims: evaluate course who have experienced MINS last two years our hospital, order identity lacks terapeutic tools. Methods we retrospectively evaluated 122 consecutive period from january 2021 december 2022. For each patient, collected data regarding clinical, strumental laboratoristics characteristics, such biomarkers, factors type/urgency surgery. Results more than half (54%) had low patient–related risk, whereas only 17% them high risk. Regarding surgery–related third (33.6%) related type urgency surgery, thirds (66.3%) intermediate Combining these risks, resulted that minority (5%) both patient less (42%) Instead, (68%) All pre–operative electrocardiogram. More (54,9%) transthoracic echocardiography. Large majority (95,6%) troponin. Conclusion careful assessment cross adoption common did not allow us adopt effective peri–operative