• J. Intern. Med. · Jul 2002

    Review

    Perioperative myocardial infarction in noncardiac surgery: the diagnostic and prognostic role of cardiac troponins.

    • S Lucreziotti, C Foroni, and C Fiorentini.
    • Divisione di Cardiologia, Dipartimento di Medicina, Chirurgia e Odontoiatria, Università degli Studi di Milano, Italy. lucre.sp@libero.it
    • J. Intern. Med. 2002 Jul 1;252(1):11-20.

    AbstractDespite the number of technologies used, the diagnosis of perioperative myocardial infarction is still a challenge. Studies conducted in surgical series have demonstrated that cardiac troponins (cTns) have both a superior diagnostic sensitivity and specificity, compared with other traditional techniques, and an independent power to predict short- and long-term prognosis. Nevertheless, some points need to be clarified. They include the usefulness of cTns in patients with end-stage renal failure; the standardization of the cTns cut-off for the diagnosis of myocardial injury; the timing of postoperative blood samplings; the cost-effectiveness of a screening in asymptomatic patients; and the possible therapeutic strategies.

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