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Abstract
Background: Myocardial infarction is the most common cause of the morbidity and mortality undergo non-cardiac surgery. High-sensitivity troponin T (hs-Troponin T) assay has been re-ported to increase the myocardial injury after non-cardiac surgery (MINS) detection rate. The objective of this study was to change hs-Troponin T in elderly patients after laparoscopic surgery and to determine the relationship. Materials and Method: Prospective observational study of 117 patients ≥ 60 years old undergo laparoscopy surgery. hs-Troponin T was measured before surgery and at day 1, 2, and 3 after surgery. MINS was defined as an absolute hs-Troponin T increase of ≥14 ng/L from preoperative to postoperative measurements. Results: hs-Troponin T increase of ≥14 ng/L was detected in 29,9%. Myocardial injury occurred in 7,7% cases. RCRI ≥ 2, intraoperative heart rate > 100/min or < 50/min,intraoperative hypotension were independent risk factors for myocardial injury. Conclusion: Elevated hs-Troponin T inelderly patients after laparoscopic
References
Ackland G.L., Abbott T.E.F., Jones T.F., et al. (2020). Early elevation in plasma high-sensitivity troponin T and morbidity after elective noncardiac surgery: prospective multicentre observational cohort study. British Journal of Anaesthesia, 124(5), 535-543.
Beattie W.S., Karkouti K., Tait G., et al. (2012). Use of clinically based troponin underestimates the cardiac injury in non-cardiac surgery: A single-centre cohort study in 51,701 consecutive patients. Canadian Journal of Anesthesia, 59(11), 1013-1022.
Devereaux P., Xavier D. (2016). Characteristics and short-term prognosis of perioperative myocardial infarction in patients undergoing noncardiac surgery. Annals of Internal Medicine, 167, 76-85.
Devereaux P., Xavier D., Pogue J., et al. (2011). Characteristics and short-term prognosis of perioperative myocardial infarction in patients undergoing noncardiac surgery. Annals of Internal Medicine, 154, 523-528.
Devereaux P.J., Szczeklik W. (2019). Myocardial injury after non-cardiac surgery: diagnosis and management. European Heart Journal, 1-9.
Everett B.M. (2017). Cardiac troponin as a novel tool for cardiovascular risk prediction in ambulatory populations. Trends in Cardiovascular Medicine, 27(1), 41-47.
Grabowski J., Talamini M. (2009). Physiological effects of pneumoperitoneum. World Journal of Gastrointestinal Surgery, 13(5), 1009-1016.
Iddagoda M.T. (2020). The role of high-sensitive troponin measurement as a biomarker during the postoperative period for the detection of myocardial injury after non-cardiac surgery. Journal of Perioperative Practice, 55, 87-78.
Khan J., Alonso-Coello P., Devereaux P.J. (2014). Myocardial injury after noncardiac surgery. Current Opinion in Cardiology, 29(4), 307-311.
Lee S.H., Kim J.A., Heo B.Y., et al. (2020). Association between intraoperative hypotension and postoperative myocardial injury in patients with prior coronary stents undergoing high-risk surgery: a retrospective study. Journal of Anesthesia, 34(2), 257-267.
Noordzij P.G., Van Geffen O., Dijkstra I.M., et al. (2015). High-sensitive cardiac troponin T measurements in prediction of non-cardiac complications after major abdominal surgery. British Journal of Anaesthesia, 114(6), 909-918.
Perrin M., Fletcher A. (2004). Laparoscopic abdominal surgery. Continuing Education in Anaesthesia, Critical Care and Pain, 4(4), 107-110.
Toda H., Nakamura K., Nakagawa K., et al. (2018). Diastolic dysfunction is a risk of perioperative myocardial injury assessed by high-sensitivity cardiac troponin T in elderly patients undergoing non-cardiac surgery. Circulation Journal, 82(3), 775-782.
| Published | 27-04-2021 | |
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| Issue | No. 68 (2021) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2021.68.13 | |
| Keywords | hs-troponin T, phẫu thuật nội soi ổ bụng, bệnh nhân cao tuổi Hs-Troponin T, laparoscopic surgery, elderly patients |
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