Kuthiah Navin, Er Chaozer
Department of Internal Medicine, Woodlands Health Campus, Singapore.
Singapore Med J. 2020 Jan;61(1):6-8. doi: 10.11622/smedj.2020004.
The term MINS (myocardial injury after non-cardiac surgery) was coined to broadly describe perioperative troponin elevation that is deemed to be due to a cardiac cause. However, this term is commonly used in literature to represent cases that do not fulfil the criteria for the diagnosis of myocardial infarction. Asymptomatic troponin elevation that does not fulfil the criteria for acute coronary syndrome in the perioperative setting has been shown to be associated with increased mortality. The discovery of MINS presents new opportunities to improve outcomes for surgical patients. Unfortunately, awareness of MINS among practitioners remains low and implementation of perioperative troponin monitoring is poor. Given its significance, the detection, management and prevention of MINS should not be overlooked.
术语“非心脏手术后心肌损伤（MINS）”被创造出来，用于广泛描述被认为由心脏原因导致的围手术期肌钙蛋白升高。然而，该术语在文献中通常用于表示不符合心肌梗死诊断标准的病例。围手术期出现的无症状肌钙蛋白升高，若不符合急性冠状动脉综合征的标准，已被证明与死亡率增加有关。MINS的发现为改善手术患者的预后带来了新机遇。不幸的是，从业者对MINS的认知度仍然很低，围手术期肌钙蛋白监测的实施情况也很差。鉴于其重要性，MINS的检测、管理和预防不容忽视。
