Larsen Mikkel Holm, Ekeløf Sarah, Gögenur Ismail
Kirurgisk Afdeling, Køge Sygehus, Lykkebækvej 1, 4600 Køge.
Ugeskr Laeger. 2015 Jun 15;177(25).
Annually, several million patients undergoing non-cardiac surgery develop myocardial injury or a myocardial infarction in the perioperative period. This frequent complication is associated with a high mortality. Despite an increasing focus on the issue the pathophysiology and the treatment of perioperative myocardial injury and infarction still remains partly unclear. Recently a new risk stratification tool was developed, which allows physicians to identify patients at risk. This review offers insight into the prevalence, pathophysiology, diagnostics, risk stratification and treatment of perioperative myocardial injury and infarction.
每年,数百万接受非心脏手术的患者在围手术期发生心肌损伤或心肌梗死。这种常见并发症与高死亡率相关。尽管对该问题的关注日益增加,但围手术期心肌损伤和梗死的病理生理学及治疗仍部分不明。最近开发了一种新的风险分层工具,可让医生识别有风险的患者。本综述深入探讨了围手术期心肌损伤和梗死的患病率、病理生理学、诊断、风险分层及治疗。