Diagnosing perioperative myocardial infarction in cardiothoracic and vascular surgery

Caitlin Nass, Lee A. Fleisher

Research output: Contribution to journalReview articlepeer-review

Abstract

Patients undergoing cardiac and high-risk noncardiac surgery have a high incidence of perioperative myocardial infarction. The early diagnosis of perioperative myocardial injury in these patients is complicated. In the perioperative period, there is a high incidence of nonspecific electrocardiographic changes and cardiac biomarker release. It is becoming increasingly important to differentiate myocardial necrosis from nonspecific changes because of the need for early intervention and the potential long term implications of a perioperative myocardial event. Although sensitive and specific assays to assess myocardial damage have been developed, specific thresholds to establish the occurrence a significant perioperative event have not been firmly defined. This review will attempt to outline the current evidence supporting the use of clinical symptoms, electrocardiographic changes, and cardiac biomarkers in the diagnosis of perioperative myocardial infarction and the longterm implication of these findings.

Original languageEnglish (US)
Pages (from-to)219-227
Number of pages9
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume6
Issue number3
DOIs
StatePublished - Sep 2002
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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