References

rpcardio

Rational Pharmacotherapy in Cardiology

Рациональная Фармакотерапия в Кардиологии

1819-64462225-3653

«SILICEA-POLIGRAF» LLC

10.20996/1819-6446-2015-11-5-529-534

rpcardio-328

Research Article

POINT OF VIEW

ТОЧКА ЗРЕНИЯ

Perioperative assessment of troponin level in the non-cardiac interventions: is there such a need?

ПЕРИОПЕРАЦИОННАЯ ОЦЕНКА ТРОПОНИНА ПРИ НЕКАРДИАЛЬНЫХ ОПЕРАЦИЯХ: ЕСТЬ ЛИ ТАКАЯ НЕОБХОДИМОСТЬ?

Сумин

А. Н.

Sumin

A. N.

д.м.н., зав. отделом мультифокального атеросклероза НИИ КПССЗ

sumian@kemcardio.ru

Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний 650002, Кемерово, Сосновый бульвар, 6РоссияResearch Institute of Complex Problems of Cardiovascular Disease. Sosnovii bulvar 6, Kemerovo, 650002 RussiaRussian Federation

2015

05112015

115529534

2015

Сумин А.Н.

Sumin A.N.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.rpcardio.online/jour/article/view/328

The rate of cardiac events (myocardial infarction, death) in non-cardiac surgery is about 2% to 3%. However, increase in troponin is noted much more often from 5% to 25% of patients. Such an isolated increase in troponin in the absence of criteria for myocardial infarction is also called "myocardial injury after non-cardiac surgery". This condition is associated with poor prognosis directly after surgery and in the long term. Current data on screening troponin level after surgery and proposals for the treatment of patients with elevated levels are presented. Different points of view on the issue are discussed. This allows more fully illuminating the problem and helping the clinician in treatment of these patients.

При некардиальных операциях частота неблагоприятных кардиальных событий (инфаркт миокарда, летальный исход) составляет примерно от 2% до 3% от всего числа пациентов, однако повышение тропонинов отмечают гораздо чаще – от 5% до 25% больных. Такое изолированное повышение тропонинов при отсутствии критериев инфаркта миокарда называют также «повреждение миокарда после некардиальной хирургии». Такое состояние связано с неблагоприятным прогнозом как непосредственно после операции, так и в отдаленном периоде. Представлены современные данные по скринингу уровня тропонина после операций, и предложения по лечению больных с его повышением. Рассмотрены различные точки зрения по данному вопросу, что позволяет более полно высветить проблему и помочь клиницисту в ведении этой категории пациентов.

некардиальные операциисердечно-сосудистые событиятропонинскрининг

non-cardiac surgerycardiovascular eventstroponin screening

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The authors declare that there are no conflicts of interest present.