Cardiac markers following cardiac surgery and percutaneous coronary intervention.

Abstract:

:Differentiation between procedure-related necrosis and postprocedural myocardial infarction (MI) is challenging because of the inherent association of these procedures to varying levels of myocardial injury. To improve risk stratification of patients at risk of an acute MI, the universal definition of MI implemented cardiac biomarker thresholds. The cutoff points for these thresholds, however, are largely arbitrary and lack therapeutic implications. Measurement of cardiac marker concentrations after percutaneous coronary intervention and cardiac surgery should, therefore, be used as a marker of baseline risk, atherosclerosis burden, and procedural complexity rather than a conclusive marker to diagnose acute MI.

journal_name

Clin Lab Med

authors

Grobben RB,Nathoe HM,Januzzi JL Jr,van Kimmenade RR

doi

10.1016/j.cll.2013.11.013

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

99-111, vii

issue

1

eissn

0272-2712

issn

1557-9832

pii

S0272-2712(13)00105-4

journal_volume

34

pub_type

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