Peri-operative cardiac biomarker screening: a narrative review.

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

Anaesthesia

journal_title

Anaesthesia

authors

Ruzycki SM,Prystajecky M,Driedger MR,Kachra R

doi

10.1111/anae.14920

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

e165-e173

eissn

0003-2409

issn

1365-2044

journal_volume

75 Suppl 1

pub_type

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