Diagnosis of Perioperative Myocardial Infarction with Measurement of Cardiac Troponin I

Myocardial infarction is the most common cause of morbidity and mortality in patients who have had noncardiac surgery 1 . The mortality among patients with perioperative infarction ranges from 36 to 70 percent 2 , 3 . However, it can be difficult to detect perioperative cardiac injury, since most ep...

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Veröffentlicht in:The New England journal of medicine 1994-03, Vol.330 (10), p.670-674
Hauptverfasser: Adams, Jesse E, Sicard, Gregorio A, Allen, Brent T, Bridwell, Keith H, Lenke, Lawrence G, Davila-Roman, Victor G, Bodor, Geza S, Ladenson, Jack H, Jaffe, Allan S
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container_end_page 674
container_issue 10
container_start_page 670
container_title The New England journal of medicine
container_volume 330
creator Adams, Jesse E
Sicard, Gregorio A
Allen, Brent T
Bridwell, Keith H
Lenke, Lawrence G
Davila-Roman, Victor G
Bodor, Geza S
Ladenson, Jack H
Jaffe, Allan S
description Myocardial infarction is the most common cause of morbidity and mortality in patients who have had noncardiac surgery 1 . The mortality among patients with perioperative infarction ranges from 36 to 70 percent 2 , 3 . However, it can be difficult to detect perioperative cardiac injury, since most episodes of myocardial ischemia occur without changes in the heart rate or blood pressure 4 , 5 . Although the measurement of MB creatine kinase has been the marker of choice for the detection of myocardial injury in most situations, increases above the normal range can sometimes occur after surgery in the absence of apparent cardiac . . .
doi_str_mv 10.1056/NEJM199403103301003
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The mortality among patients with perioperative infarction ranges from 36 to 70 percent 2 , 3 . However, it can be difficult to detect perioperative cardiac injury, since most episodes of myocardial ischemia occur without changes in the heart rate or blood pressure 4 , 5 . 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Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Postoperative Complications - blood ; Postoperative Complications - diagnosis ; Risk Factors ; Sensitivity and Specificity ; Serum levels ; Surgery ; Troponin ; Troponin - blood ; Troponin I ; Vascular Surgical Procedures - adverse effects</subject><ispartof>The New England journal of medicine, 1994-03, Vol.330 (10), p.670-674</ispartof><rights>Copyright © 1994 Massachusetts Medical Society. 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The mortality among patients with perioperative infarction ranges from 36 to 70 percent 2 , 3 . However, it can be difficult to detect perioperative cardiac injury, since most episodes of myocardial ischemia occur without changes in the heart rate or blood pressure 4 , 5 . Although the measurement of MB creatine kinase has been the marker of choice for the detection of myocardial injury in most situations, increases above the normal range can sometimes occur after surgery in the absence of apparent cardiac . . .</description><subject>Biochemistry</subject><subject>Biological and medical sciences</subject><subject>Calcium-binding protein</subject><subject>Cardiovascular system</subject><subject>Creatine</subject><subject>Creatine kinase</subject><subject>Creatine Kinase - blood</subject><subject>Diagnosis</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>False Positive Reactions</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Kinases</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - blood</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - etiology</subject><subject>Pathology. 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subjects Biochemistry
Biological and medical sciences
Calcium-binding protein
Cardiovascular system
Creatine
Creatine kinase
Creatine Kinase - blood
Diagnosis
Echocardiography
Electrocardiography
False Positive Reactions
Female
Health risk assessment
Heart
Heart diseases
Humans
Incidence
Investigative techniques, diagnostic techniques (general aspects)
Kinases
Male
Medical diagnosis
Medical research
Medical sciences
Middle Aged
Morbidity
Mortality
Myocardial infarction
Myocardial Infarction - blood
Myocardial Infarction - diagnosis
Myocardial Infarction - etiology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Postoperative Complications - blood
Postoperative Complications - diagnosis
Risk Factors
Sensitivity and Specificity
Serum levels
Surgery
Troponin
Troponin - blood
Troponin I
Vascular Surgical Procedures - adverse effects
title Diagnosis of Perioperative Myocardial Infarction with Measurement of Cardiac Troponin I
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