Abstract:
:Peri-operative risk estimation has traditionally focused on assessing the likelihood of postoperative morbidity and mortality using pre-operative functional assessment. Although this strategy is currently recommended by most major society guidelines, contemporary evidence suggests that cardiac biomarker measurement has important advantages over pre-operative functional assessment. These advantages include superior predictive discrimination and inclusion of the postoperative course in risk estimation. In this review, we provide an overview of the evidence supporting the peri-operative utilisation, compare risk estimation methods and discuss which patients may benefit most from cardiac biomarker screening. We also discuss protocols for biomarker screening and management of patients with abnormal results.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Ruzycki SM,Prystajecky M,Driedger MR,Kachra Rdoi
10.1111/anae.14920subject
Has Abstractpub_date
2020-01-01 00:00:00pages
e165-e173eissn
0003-2409issn
1365-2044journal_volume
75 Suppl 1pub_type
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