Academic Journal
European Association of Cardio-Thoracic Surgery (EACTS) expert consensus statement on perioperative myocardial infarction after cardiac surgery
| العنوان: | European Association of Cardio-Thoracic Surgery (EACTS) expert consensus statement on perioperative myocardial infarction after cardiac surgery |
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| المؤلفون: | Gaudino, Mario, Flather, Marcus, Capodanno, Davide, Milojevic, Milan, Bhatt, Deepak L, Biondi Zoccai, Giuseppe, Boden, William E, Devereaux, P J, Doenst, Torsten, Farkouh, Michael, Freemantle, Nicholas, Fremes, Stephen, Puskas, John, Landoni, Giovanni, Lawton, Jennifer, Myers, Patrick O, Redfors, Björn, Sandner, Sigrid |
| المساهمون: | Gaudino, Mario, Flather, Marcu, Capodanno, Davide, Milojevic, Milan, Bhatt, Deepak L, Biondi Zoccai, Giuseppe, Boden, William E, Devereaux, P J, Doenst, Torsten, Farkouh, Michael, Freemantle, Nichola, Fremes, Stephen, Puskas, John, Landoni, Giovanni, Lawton, Jennifer, Myers, Patrick O, Redfors, Björn, Sandner, Sigrid |
| سنة النشر: | 2024 |
| المجموعة: | Sapienza Università di Roma: CINECA IRIS |
| مصطلحات موضوعية: | cardiac surgery, cardiac troponin, creatine kinase-MB, expert consensus document, new myocardial ischemia, perioperative myocardial infarction |
| الوصف: | Cardiac surgery may lead to myocardial damage and release of cardiac biomarkers through various mechanisms such as cardiac manipulation, systemic inflammation, myocardial hypoxia, cardioplegic arrest and ischaemia caused by coronary or graft occlusion. Defining perioperative myocardial infarction (PMI) after cardiac surgery presents challenges, and the association between the current PMI definitions and postoperative outcomes remains uncertain. To address these challenges, the European Association of Cardio-Thoracic Surgery (EACTS) facilitated collaboration among a multidisciplinary group to evaluate the existing evidence on the mechanisms, diagnosis and prognostic implications of PMI after cardiac surgery. The review found that the postoperative troponin value thresholds associated with an increased risk of mortality are markedly higher than those proposed by all the current definitions of PMI. Additionally, it was found that large postoperative increases in cardiac biomarkers are prognostically relevant even in absence of additional supportive signs of ischaemia. A new algorithm for PMI detection after cardiac surgery was also proposed, and a consensus was reached within the group that establishing a prognostically relevant definition of PMI is critically needed in the cardiovascular field and that PMI should be included in the primary composite outcome of coronary intervention trials. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/38420786; info:eu-repo/semantics/altIdentifier/wos/WOS:001178315600005; volume:65; issue:2; numberofpages:15; journal:EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY; https://hdl.handle.net/11573/1703532 |
| DOI: | 10.1093/ejcts/ezad415 |
| الاتاحة: | https://hdl.handle.net/11573/1703532 https://doi.org/10.1093/ejcts/ezad415 |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.ED4AC72 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/ejcts/ezad415 |
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