Injuria miocárdica luego de cirugía no cardíaca

David Torres P.; Fernando Botto; Valentina Paz R.; Javiera Vásquez M.

doi:10.35687/s2452-45492020004608

Injuria miocárdica luego de cirugía no cardíaca

David Torres P.^*
, Fernando Botto
, Valentina Paz R.
, Javiera Vásquez M.

^*Autor correspondiente de este trabajo

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

1 Cita (Scopus)

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 10 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.

Título traducido de la contribución	Myocardial injury after non-cardiac surgery
Idioma original	Español
Páginas (desde-hasta)	355-360
Número de páginas	6
Publicación	Revista de Cirugia
Volumen	72
N.º	4
DOI	https://doi.org/10.35687/s2452-45492020004608
Estado	Publicada - 2020

Nota bibliográfica

Publisher Copyright:
© 2020, Sociedad de Cirujanos de Chile. All rights reserved.

Palabras clave

Myocardial infarction
Perioperative
Risk
Troponin

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title = "Injuria mioc{\'a}rdica luego de cirug{\'i}a no card{\'i}aca",

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.",

keywords = "Myocardial infarction, Perioperative, Risk, Troponin",

author = "\{Torres P.\}, David and Fernando Botto and \{Paz R.\}, Valentina and \{V{\'a}squez M.\}, Javiera",

year = "2020",

doi = "10.35687/s2452-45492020004608",

language = "Spanish",

volume = "72",

pages = "355--360",

journal = "Revista de Cirugia",

issn = "2452-4557",

publisher = "Sociedad de Cirujanos de Chile",

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TY - JOUR

T1 - Injuria miocárdica luego de cirugía no cardíaca

AU - Torres P., David

AU - Botto, Fernando

AU - Paz R., Valentina

AU - Vásquez M., Javiera

PY - 2020

Y1 - 2020

N2 - 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.

AB - 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.

KW - Myocardial infarction

KW - Perioperative

KW - Risk

KW - Troponin

UR - https://www.scopus.com/pages/publications/85096895930

U2 - 10.35687/s2452-45492020004608

DO - 10.35687/s2452-45492020004608

M3 - Article

AN - SCOPUS:85096895930

SN - 2452-4557

VL - 72

SP - 355

EP - 360

JO - Revista de Cirugia

JF - Revista de Cirugia

IS - 4

ER -

Injuria miocárdica luego de cirugía no cardíaca

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