Injuria miocárdica luego de cirugía no cardíaca / Myocardial injury after non-cardiac surgery
Rev. cir. (Impr.)
;
72(4): 355-360, ago. 2020. tab, ilus
Article
in Spanish
| LILACS
| ID: biblio-1138723
RESUMEN
Resumen Las complicaciones cardiovasculares mayores en el postoperatorio son frecuentes y el principal factor contribuyente es la injuria miocárdica o infarto (MINS, Myocardial Injury after Noncardiac Surgery) asociado a cirugía no cardíaca. El riesgo de mortalidad a 30 días de los pacientes con injuria miocárdica es 4-5 veces mayor que los pacientes que no lo presentan. Se estima que 85% de los pacientes con MINS no presentan síntomas, por lo que la única manera de detectarlos es mediante screening sistemático de troponinas. Si bien no existen intervenciones de aplicación sistemática que permitan prevenir esta complicación, existen alternativas de tratamiento y manejo, por lo que la pesquisa activa es costo-efectiva y relevante desde el punto de visto clínico.
ABSTRACT
Major cardiovascular complications in the postoperative period are frequent and the main contributing factor is myocardial injury or infarction (MINS, Myocardial Injury after Noncardiac Surgery) associated with non-cardiac surgery. The 30-day mortality risk in patients with myocardial injury is 4-5 times higher than in patients without this complication. It is estimated that 85% of patients with MINS/infarction are asymptomatic, hence the only way to detect them is through systematic screening of troponins. Although there are no systematic interventions to prevent this complication, there are treatment and management alternatives, so the active early diagnosis is cost effective and relevant from a clinical point of view.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Postoperative Complications
/
Myocardial Ischemia
Type of study:
Etiology study
/
Risk factors
/
Screening study
Language:
Spanish
Journal:
Rev. cir. (Impr.)
Journal subject:
Cirurgia Geral
/
Oftalmologia
/
Ortopedia
Year:
2020
Type:
Article
Affiliation country:
Argentina
/
Chile
Institution/Affiliation country:
Anestesiología Universidad de los Andes/CL
/
Instituto Cardiovascular/AR
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