Abstract:
AIM:The usefulness of high-sensitivity troponin T (hs-TnT) as a predictor of perioperative hemodynamic instability is currently unknown. METHODS:A prospective study was conducted on a group of 708 consecutive patients with significant valvular heart disease that underwent elective valve surgery. The primary end point was postoperative hemodynamic instability. The secondary end point was death from all causes in patients with perioperative hemodynamic instability. RESULTS:The postoperative hemodynamic instability occurred in 131 patients. At multivariate analysis hs-TnT measured immediately after surgery and New York Heart Association classes remained independent predictors of the primary end point. Age and hs-TnT measured immediately after surgery were associated with an increased risk of death. CONCLUSION:Elevated postoperative hs-TnT was associated with a higher risk of postoperative hemodynamic instability and death.
journal_name
Biomark Medjournal_title
Biomarkers in medicineauthors
Duchnowski P,Hryniewiecki T,Koźma M,Mariusz K,Piotr Sdoi
10.2217/bmm-2018-0186subject
Has Abstractpub_date
2018-12-01 00:00:00pages
1303-1309issue
12eissn
1752-0363issn
1752-0371journal_volume
12pub_type
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