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Article

Biomarker-Based Preoperative Risk Stratification for Patients Undergoing Non-Cardiac Surgery

by
Timur Yurttas
,
Reka Hidvegi
and
Miodrag Filipovic
*
Division of Anesthesiology, Intensive Care, Rescue and Pain Medicine, Kantonsspital St.Gallen, 9001 St. Gallen, Switzerland
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(2), 351; https://doi.org/10.3390/jcm9020351
Submission received: 31 December 2019 / Revised: 21 January 2020 / Accepted: 24 January 2020 / Published: 27 January 2020
(This article belongs to the Special Issue Anesthesia for the High-Risk Patient)
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Abstract

Perioperative morbidity and mortality remains a substantial problem and is strongly associated with patients’ cardiac comorbidities. Guidelines for the cardiovascular assessment and management of patients at risk of cardiac issues while undergoing non-cardiac surgery are traditionally based on the exclusion of active or unstable cardiac conditions, determination of the risk of surgery, the functional capacity of the patient, and the presence of cardiac risk factors. In the last two decades, strong evidence showed an association between cardiac biomarkers and adverse cardiac events, with newer guidelines incorporating this knowledge. This review describes a biomarker-based risk-stratification pathway and discusses potential treatment strategies for patients suffering from postoperative myocardial injury or infarction.
Keywords: preoperative risk stratification; cardiac biomarkers; perioperative myocardial infarction/injury preoperative risk stratification; cardiac biomarkers; perioperative myocardial infarction/injury

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MDPI and ACS Style

Yurttas, T.; Hidvegi, R.; Filipovic, M. Biomarker-Based Preoperative Risk Stratification for Patients Undergoing Non-Cardiac Surgery. J. Clin. Med. 2020, 9, 351. https://doi.org/10.3390/jcm9020351

AMA Style

Yurttas T, Hidvegi R, Filipovic M. Biomarker-Based Preoperative Risk Stratification for Patients Undergoing Non-Cardiac Surgery. Journal of Clinical Medicine. 2020; 9(2):351. https://doi.org/10.3390/jcm9020351

Chicago/Turabian Style

Yurttas, Timur, Reka Hidvegi, and Miodrag Filipovic. 2020. "Biomarker-Based Preoperative Risk Stratification for Patients Undergoing Non-Cardiac Surgery" Journal of Clinical Medicine 9, no. 2: 351. https://doi.org/10.3390/jcm9020351

APA Style

Yurttas, T., Hidvegi, R., & Filipovic, M. (2020). Biomarker-Based Preoperative Risk Stratification for Patients Undergoing Non-Cardiac Surgery. Journal of Clinical Medicine, 9(2), 351. https://doi.org/10.3390/jcm9020351

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