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Detection and management of perioperative myocardial ischemia

机译:围手术期心肌缺血的检测与处理

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Purpose of Review: To review the current evidence for detection and management of perioperative myocardial ischemia. RECENT FINDINGS: Patients who sustain a myocardial injury after noncardiac surgery are predominantly asymptomatic. Myocardial injury after noncardiac surgery is associated with both short-term and long-term mortality. Mortality from both cardiac and noncardiac causes is significant. SUMMARY: Perioperative physicians should refrain from the use of nonsurgical diagnostic criteria for myocardial infarction and adopt the clinical entity known as myocardial injury after noncardiac surgery in order to allow for better determination of the prevalence of this perioperative complication. Studies should focus on establishing the feasibility of broad postoperative troponin surveillance following noncardiac surgery. Clinical trials of potential therapies for myocardial injury after noncardiac surgery are urgently needed.
机译:审查目的:审查围手术期心肌缺血的最新证据。最近的发现:非心脏手术后遭受心肌损伤的患者主要是无症状的。非心脏手术后的心肌损伤与短期和长期死亡率有关。来自心脏和非心脏原因的死亡率都很高。摘要:围手术期医师应避免使用非手术性心肌梗死诊断标准,而应采用非心脏手术后称为心肌损伤的临床实体,以便更好地确定围手术期并发症的发生率。研究应集中于确定非心脏手术后广泛的肌钙蛋白监测的可行性。急需进行非心脏手术后心肌损伤的潜在疗法的临床试验。

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