Published in:
01-05-2022 | Myocardial Infarction | Editorials
Myocardial injury after noncardiac surgery
Authors:
P. J. Devereaux, MD, PhD, FRCPC, Daniel Sessler, MD, Manoj Lalu, MD, PhD, FRCPC
Published in:
Canadian Journal of Anesthesia/Journal canadien d'anesthésie
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Issue 5/2022
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Excerpt
In this issue of the
Journal, Ko
et al. report on the results of a large population-based historical cohort study of noncardiac surgical patients in Ontario. The investigators aimed to define patterns of postoperative troponin testing for detecting perioperative myocardial infarction.
1 The principal finding was that there was substantial variation in troponin testing among hospitals, which the authors suggest lends support to a more standardized approach to troponin testing. We use this opportunity to discuss the history of perioperative myocardial infarction and evolution to myocardial injury after noncardiac surgery (MINS); the prognosis, etiology, and management of MINS; and perioperative troponin monitoring. …