Expert consensus on peri-operative myocardial injury screening in noncardiac surgery: A literature review.

Christian Puelacher, Bernardo Bollen Pinto, Nicholas L Mills, Emmanuelle Duceppe, Ekaterine Popova, Andreas Duma, Peter Nagele, Torbjørn Omland, Angelika Hammerer-Lercher, Giovanna Lurati Buse

European journal of anaesthesiology 2021 Jun 01

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Peri-operative myocardial injury, detected by dynamic and elevated cardiac troponin (cTn) concentrations, is a common complication of noncardiac surgery that is strongly associated with 30-day mortality. Although active screening for peri-operative myocardial injury has been suggested in recent guidelines, clinical implementation remains tentative due to a lack of examples on how to tackle such an interdisciplinary project at a local level. Moreover, consensus on which assay and cTn cut-off values should be used has not yet been reached, and guidance on whom to screen is lacking. In this article, we aim to summarise local examples of successfully implemented cTn screening practices and review the current literature in order to provide information and suggestions for patient selection, organisation of a screening programme, caveats and a potential management pathway. Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Society of Anaesthesiology.

Citation

Christian Puelacher, Bernardo Bollen Pinto, Nicholas L Mills, Emmanuelle Duceppe, Ekaterine Popova, Andreas Duma, Peter Nagele, Torbjørn Omland, Angelika Hammerer-Lercher, Giovanna Lurati Buse. Expert consensus on peri-operative myocardial injury screening in noncardiac surgery: A literature review. European journal of anaesthesiology. 2021 Jun 01;38(6):600-608