Myocardial Injury after Non-Cardiac Surgery and Its Correlation with Mortality - A Brief Review on Its Scenario till 2020
Abstract
From various studies documented/ published, myocardial injury following noncardiac surgery is the youngest entity claiming mortality of 3 to 10 percent. Among cardiac complications, Atrial Fibrillation (AF) is one of the common cause. Diagnosis is based on the perioperative 4th generation Troponin-T and 2 or 3 days after the procedure. Its rise is associated with poor prognosis. Many of the issues of pathophysiology still have to be addressed against Myocardial Injury in a Non-cardiac Surgery (MINS). Several investigations report mechanisms of MINS but sill more studies are required to establish strategies to preclude MINS and manage patients with this diagnosis in order to mitigate such mortalities. This manuscript aims to increase awareness about MINS as it is observed that MINS frequently appears in clinical practise and typically prevails in older patients with cardiovascular disease, so clinicians should be sensitized for this consequential complication.
How to cite this article:
Mala S. Myocardial Injury after Non-Cardiac Surgery and Its Correlation with Mortality - A Brief Review on Its Scenario Till 2020. Int J Preven Cardio 2021; 1(1): 29-31.
References
Sellers D, Srinivas C, Djaiani G. Cardiovascular
complications after non-cardiac surgery. Anaesthesia
; 73: 34-42.
Mel Grover MSNA. Myocardial Injury After Non-Cardiac
Surgery. The International Student Journal of Nurse
Anesthesia 2020; 19(1): 28-32.
Devereaux PJ, Sessler DI. Cardiac complications in
patients undergoing major noncardiac surgery. New
England Journal of Medicine 2015; 373(23): 2258-2269.
Devereaux PJ, Szczeklik W. Myocardial injury after non
cardiac surgery: diagnosis and management. European
heart journal 2020; 41(32): 3083-3091.
Alpert JS, Thygesen K, Jaffe A, White HD. The universal
definition of myocardial infarction: a consensus
document. Heart 2008; 94(10): 1335-1341.
Adams JE, Sicard GA, Allen BT, Bridwell KH, Lenke LG,
Davila-Roman VG et al. Diagnosis of perioperative
myocardial infarction with measurement of cardiac
troponin I. New England Journal of Medicine 1994;
(10): 670-674.
Tanindi A, Cemri M. Troponin elevation in conditions
other than acute coronary syndromes. Vascular health
and risk management 2011; 7: 597.
Gillmann HJ, Meinders A, Grohennig A, Larmann,
J, Bünte C, Calmer S et al. Perioperative levels and
changes of high-sensitivity troponin T are associated
with cardiovascular events in vascular surgery
patients. Critical care medicine 2014; 42(6): 1498-1506.
Botto F, Alonso-Coello P, Chan MT, Villar JC, Xavier D,
Srinathan S et al. Myocardial injury after noncardiac
surgery: a large, international, prospective cohort
study establishing diagnostic criteria, characteristics,
predictors, and 30-day outcomes. Anesthesiology 2014;
(3): 564-578.
Abbott TEF, Ackland GL, Wragg A, Rodseth R, Archbold
A, Pearse RM. Association between intraoperative heart
rate and postoperative myocardial injury in patients
following non-cardiac surgery. Intensive care medicine
experimental 2015; 3(1): 1-2.
Mauermann E, Puelacher C, Lurati Buse G. Myocardial
injury after noncardiac surgery: an underappreciated
problem and current challenges. Current opinion in
anaesthesiology 2016; 29(3): 403-412.
Ogedengbe A. Predictors of health related quality of
life among hypertensive patients attending general
outpatient clinic in federal medical centre OWO, ONDO
State. Faculty of Family Medicine. 2017.
Puelacher C, Lurati Buse G, Seeberger D, Sazgary L,
Marbot S, Lampart A et al. Perioperative myocardial
injury after noncardiac surgery: incidence, mortality,
and characterization. Circulation 2018; 137(12): 1221
Álvarez-García J, de Nadal M, Popova E. Myocardial
Injury After Noncardiac Surgery. Could Dabigatran Be
a First Step in Its Management?. Revista espanola de
cardiologia (English ed.) 2019; 72(10): 803.
Puelacher C, Gualandro DM, Lurati Buse G, Bolliger D,
Marbot S, Kindler C et al. Etiology of peri-operative
myocardial infarction/injury after noncardiac surgery
and associated outcome. Journal of the American
College of Cardiology 2020; 76(16): 1910-1912.
Akhai S, Mala S, Jerin AA. Apprehending Air
Conditioning Systems in Context to COVID-19 and
Human Health: A Brief Communication. International
Journal of Healthcare Education & Medical Informatics
; 7(1&2)
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