Relationship between perioperative troponin elevation and other indicators of myocardial injury in vascular surgery patients.

@article{Howell2006RelationshipBP,
  title={Relationship between perioperative troponin elevation and other indicators of myocardial injury in vascular surgery patients.},
  author={Simon James Howell and J. P. Thompson and Alastair F. Nimmo and Christopher P Snowden and Neil D. Edwards and James R Carlisle and Mahir S. Suleiman and Andreas Baumbach},
  journal={British journal of anaesthesia},
  year={2006},
  volume={96 3},
  pages={
          303-9
        }
}
BACKGROUND In 2000 the European Society of Cardiology and the American College of Cardiology published a consensus document revising the definition of myocardial infarction. The usefulness of this revised definition has been challenged. It has been suggested that, rather than any release of cardiac troponin being potentially diagnostic of myocardial infarction, a diagnostic threshold consistent with significant myocardial injury should be defined. METHODS We studied 65 patients undergoing… 
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8. Kaiser C, Kuster GM, Erne P et al. Risks and benefits of optimised medical and revascularisation therapy in elderly patients with anginaon-treatment analysis of the TIME trial. Eur Heart J 2004;
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References

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TLDR
Routine postoperative surveillance for cardiac troponin I is useful for identifying patients who have undergone vascular surgery who have an increased risk for short-term mortality and perioperative MI.
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TLDR
Serial troponin measurements during the perioperative period identify pre-, intra- and postoperative myocardial cell injury and help categorize the subsequent risk.
Cardiac troponin I predicts short-term mortality in vascular surgery patients.
TLDR
Whether the authors when stating “postoperative surveillance with cardiac enzymes is not routinely performed in these patients” refer to creatinine kinase and its MB isoenzyme or to cTnI, a contractile protein, reported to be more specific for the diagnosis of myocardial infarction during surgery is unclear.
Comparison of cardiac troponin I and creatine kinase ratios in the detection of myocardial injury after aortic surgery
TLDR
Cardiac troponin I and cTnT are the most sensitive and specific markers of myocardial cell necrosis currently available but are not widely used in surgical practice and compared to CK/CK‐MB ratios in the detection of aortic surgery.
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TLDR
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TLDR
In high-risk patients undergoing noncardiac surgery, early postoperative myocardial ischemia is an important correlate of adverse cardiac outcomes, and no other clinical, historical, or perioperative variable was associated with ischemic events.
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