Myocardial injury after non-cardiac surgery: current state of the problem and unresolved issues

The survey based  on the last decade literature,  guidelines  of international and national professional  communities  summarizes  data  on myocardial  injury after non-cardiac surgery (MINS). It reflects the growing interest in this interdisciplinary problem aroused by MINS widespread  occurrence a...

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Main Authors: K. Protasov, O. Bolshedvorskaya
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2019-11-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/3557
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author K. Protasov
O. Bolshedvorskaya
author_facet K. Protasov
O. Bolshedvorskaya
author_sort K. Protasov
collection DOAJ
description The survey based  on the last decade literature,  guidelines  of international and national professional  communities  summarizes  data  on myocardial  injury after non-cardiac surgery (MINS). It reflects the growing interest in this interdisciplinary problem aroused by MINS widespread  occurrence and its close association  with after surgery mortality. Observational studies devoted to a search  for risk factors and mechanisms of after surgery myocardial injury were scrutinized. The role of asymptomatic   increase   in cardiac  troponins  which is stiffly competitive  in its clinical and prognostic  significance with after surgery  myocardial infarction was highlighted.  Modern approaches to MINS diagnostics  and  prevention  were set out.  The possibilities  and  prospects for MINS treatment were  discussed with regard  for the  results  of the  recently  completed  randomized  controlled  study MANAGE (2018). Unresolved issues  and avenues  of further investigations in the field were specified.
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spelling doaj.art-ff591a0d57e4475590a8ab9a0cf54b602023-03-29T21:23:34Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202019-11-0101112213210.15829/1560-4071-2019-11-122-1322778Myocardial injury after non-cardiac surgery: current state of the problem and unresolved issuesK. Protasov0O. Bolshedvorskaya1Irkutsk State Medical Academy of Postgraduate Education – Branch of Russian Medical Academy of Continuing Professional EducationIrkutsk Regional Oncology CenterThe survey based  on the last decade literature,  guidelines  of international and national professional  communities  summarizes  data  on myocardial  injury after non-cardiac surgery (MINS). It reflects the growing interest in this interdisciplinary problem aroused by MINS widespread  occurrence and its close association  with after surgery mortality. Observational studies devoted to a search  for risk factors and mechanisms of after surgery myocardial injury were scrutinized. The role of asymptomatic   increase   in cardiac  troponins  which is stiffly competitive  in its clinical and prognostic  significance with after surgery  myocardial infarction was highlighted.  Modern approaches to MINS diagnostics  and  prevention  were set out.  The possibilities  and  prospects for MINS treatment were  discussed with regard  for the  results  of the  recently  completed  randomized  controlled  study MANAGE (2018). Unresolved issues  and avenues  of further investigations in the field were specified.https://russjcardiol.elpub.ru/jour/article/view/3557myocardial injurynon-cardiac surgerytroponin
spellingShingle K. Protasov
O. Bolshedvorskaya
Myocardial injury after non-cardiac surgery: current state of the problem and unresolved issues
Российский кардиологический журнал
myocardial injury
non-cardiac surgery
troponin
title Myocardial injury after non-cardiac surgery: current state of the problem and unresolved issues
title_full Myocardial injury after non-cardiac surgery: current state of the problem and unresolved issues
title_fullStr Myocardial injury after non-cardiac surgery: current state of the problem and unresolved issues
title_full_unstemmed Myocardial injury after non-cardiac surgery: current state of the problem and unresolved issues
title_short Myocardial injury after non-cardiac surgery: current state of the problem and unresolved issues
title_sort myocardial injury after non cardiac surgery current state of the problem and unresolved issues
topic myocardial injury
non-cardiac surgery
troponin
url https://russjcardiol.elpub.ru/jour/article/view/3557
work_keys_str_mv AT kprotasov myocardialinjuryafternoncardiacsurgerycurrentstateoftheproblemandunresolvedissues
AT obolshedvorskaya myocardialinjuryafternoncardiacsurgerycurrentstateoftheproblemandunresolvedissues