• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

非心脏手术后在复苏室接受治疗且疑似出现心脏事件的患者，术后极早期肌钙蛋白升高与临床结局。

Very early postoperative troponin increase and clinical outcome in patients admitted to the recovery room after noncardiac surgery with suspected cardiac events.

机构信息

Anaesthesia and Intensive Care Unit, Santa Maria Annunziata Hospital, Florence, Italy.

Cardiology Unit, Santa Maria Annunziata Hospital, Florence, Italy.

出版信息

Indian Heart J. 2020 May-Jun;72(3):197-199. doi: 10.1016/j.ihj.2020.05.013. Epub 2020 May 29.

DOI:10.1016/j.ihj.2020.05.013
PMID:32768022
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7411100/
Abstract

We assessed the prognostic meaning of very early (<6 h) troponin increase after noncardiac surgery in a population of patients admitted to the recovery room, for whom troponin measurements were taken because of a suspected cardiac event. Among a total of 296 patients, abnormal troponin was found in 24 (8.1%). Ten patients in this group (41.7%) and 27 among those with normal troponin (9.9%) experienced cardiovascular death, myocardial infarction, or decompensated heart failure at one month (p < 0.0001). Troponin was independently associated with a two-fold risk of events (p < 0.0001). In these patients, very early troponin measurement in the recovery room may help to identify patients at risk of cardiovascular events.

摘要

我们评估了在复苏室接受治疗的疑似心脏事件患者中，术后 6 小时内肌钙蛋白升高的预后意义。在总共 296 名患者中，24 名（8.1%）发现肌钙蛋白异常。在肌钙蛋白异常的患者中，有 10 名（41.7%）和肌钙蛋白正常的患者中 27 名（9.9%）在一个月内发生心血管死亡、心肌梗死或心力衰竭（p < 0.0001）。肌钙蛋白与两倍的事件风险独立相关（p < 0.0001）。在这些患者中，在复苏室进行早期肌钙蛋白测量可能有助于识别心血管事件风险患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/567f/7411100/9f29e1192ae5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/567f/7411100/9f29e1192ae5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/567f/7411100/9f29e1192ae5/gr1.jpg

相似文献

1
Very early postoperative troponin increase and clinical outcome in patients admitted to the recovery room after noncardiac surgery with suspected cardiac events.非心脏手术后在复苏室接受治疗且疑似出现心脏事件的患者，术后极早期肌钙蛋白升高与临床结局。
Indian Heart J. 2020 May-Jun;72(3):197-199. doi: 10.1016/j.ihj.2020.05.013. Epub 2020 May 29.
2
Prognostic value of cardiac troponin T after noncardiac surgery: 6-month follow-up data.非心脏手术后心肌肌钙蛋白T的预后价值：6个月随访数据
J Am Coll Cardiol. 1997 May;29(6):1241-5. doi: 10.1016/s0735-1097(97)82754-4.
3
Troponin elevation after noncardiac surgery: Significance and management.非心脏手术后肌钙蛋白升高：意义与处理
Cleve Clin J Med. 2015 Sep;82(9):595-602. doi: 10.3949/ccjm.82a.15076.
4
Surgical Apgar score is associated with myocardial injury after noncardiac surgery.手术中 Apgar 评分与非心脏手术后的心肌损伤相关。
J Clin Anesth. 2016 Nov;34:395-402. doi: 10.1016/j.jclinane.2016.05.009. Epub 2016 Jun 8.
5
Early elevation in plasma high-sensitivity troponin T and morbidity after elective noncardiac surgery: prospective multicentre observational cohort study.血浆高敏肌钙蛋白 T 早期升高与择期非心脏手术后发病率的关系：前瞻性多中心观察性队列研究。
Br J Anaesth. 2020 May;124(5):535-543. doi: 10.1016/j.bja.2020.02.003. Epub 2020 Mar 5.
6
Implication of Major Adverse Postoperative Events and Myocardial Injury on Disability and Survival: A Planned Subanalysis of the ENIGMA-II Trial.主要术后不良事件和心肌损伤对残疾和生存的影响：ENIGMA-II 试验的计划亚分析。
Anesth Analg. 2018 Nov;127(5):1118-1126. doi: 10.1213/ANE.0000000000003310.
7
[Asymptomatic myocardial infarction after non-cardiac surgery; importance of routine testing of troponin concentration].非心脏手术后的无症状心肌梗死；肌钙蛋白浓度常规检测的重要性
Ned Tijdschr Geneeskd. 2013;157(20):A5915.
8
Myocardial injury after noncardiac surgery and its association with short-term mortality.非心脏手术后的心肌损伤及其与短期死亡率的关系。
Circulation. 2013 Jun 11;127(23):2264-71. doi: 10.1161/CIRCULATIONAHA.113.002128. Epub 2013 May 10.
9
Myocardial injury after noncardiac surgery-incidence and predictors from a prospective observational cohort study at an Indian tertiary care centre.非心脏手术后的心肌损伤——来自印度一家三级护理中心的前瞻性观察队列研究的发病率及预测因素
Medicine (Baltimore). 2018 May;97(19):e0402. doi: 10.1097/MD.0000000000010402.
10
Predictors of early postoperative troponin increase after noncardiac surgery: a pilot study in a real-world population admitted to the recovery room.非心脏手术后早期肌钙蛋白升高的预测因素：对进入恢复室的真实世界人群的一项初步研究
Br J Anaesth. 2015 Dec;115(6):945-6. doi: 10.1093/bja/aev394.

引用本文的文献

1
Prognostic value of high-sensitivity cardiac troponin in non-cardiac surgical patients in intensive care units.高敏心肌肌钙蛋白在重症监护病房非心脏手术患者中的预后价值。
Intern Emerg Med. 2024 Jan;19(1):201-209. doi: 10.1007/s11739-023-03509-z. Epub 2024 Jan 9.
2
Dose-response effect of postprocedural elevated cardiac troponin level on adverse clinical outcomes following adult noncardiac surgery: a systematic review protocol of prospective studies.术后心肌肌钙蛋白水平升高对成人非心脏手术后不良临床结局的剂量反应效应：前瞻性研究的系统评价方案。
BMJ Open. 2021 Jun 18;11(6):e046223. doi: 10.1136/bmjopen-2020-046223.

本文引用的文献

1
Perioperative myocardial injury and infarction following non-cardiac surgery: A review of the eclipsed epidemic.非心脏手术后的围手术期心肌损伤和梗死：对隐匿性流行病的综述
Saudi J Anaesth. 2020 Jan-Mar;14(1):91-99. doi: 10.4103/sja.SJA_499_19. Epub 2020 Jan 6.
2
Dabigatran in patients with myocardial injury after non-cardiac surgery (MANAGE): an international, randomised, placebo-controlled trial.非心脏手术后心肌损伤患者的达比加群治疗（MANAGE）：一项国际性、随机、安慰剂对照试验。
Lancet. 2018 Jun 9;391(10137):2325-2334. doi: 10.1016/S0140-6736(18)30832-8.
3
High-Sensitivity Troponin in Noncardiac Surgery: Pandora's Box or Opportunity for Precision Perioperative Care?
非心脏手术中的高敏肌钙蛋白：是潘多拉魔盒还是精准围手术期护理的契机？
Circulation. 2018 Mar 20;137(12):1233-1235. doi: 10.1161/CIRCULATIONAHA.117.032201.
4
Troponin elevations after non-cardiac, non-vascular surgery are predictive of major adverse cardiac events and mortality: a systematic review and meta-analysis.非心脏、非血管手术后肌钙蛋白升高可预测主要不良心脏事件和死亡率：系统评价和荟萃分析。
Br J Anaesth. 2016 Nov;117(5):559-568. doi: 10.1093/bja/aew321.
5
Myocardial injury after noncardiac surgery: an underappreciated problem and current challenges.非心脏手术后的心肌损伤：一个未得到充分认识的问题及当前挑战。
Curr Opin Anaesthesiol. 2016 Jun;29(3):403-12. doi: 10.1097/ACO.0000000000000336.
6
Predictors of early postoperative troponin increase after noncardiac surgery: a pilot study in a real-world population admitted to the recovery room.非心脏手术后早期肌钙蛋白升高的预测因素：对进入恢复室的真实世界人群的一项初步研究
Br J Anaesth. 2015 Dec;115(6):945-6. doi: 10.1093/bja/aev394.
7
Postoperative troponin surveillance: A diagnostic dilemma.术后肌钙蛋白监测：诊断难题
Cleve Clin J Med. 2015 Sep;82(9):603-5. doi: 10.3949/ccjm.82a.15113.
8
Relation of perioperative elevation of troponin to long-term mortality after orthopedic surgery.骨科手术后肌钙蛋白围手术期升高与长期死亡率的关系。
Am J Cardiol. 2015 Jun 15;115(12):1643-8. doi: 10.1016/j.amjcard.2015.03.003. Epub 2015 Mar 23.
9
Clinical utility of an undersized nurse-operated recovery room in the postoperative course: results from an Italian community setting.小型护士主导的恢复室在术后过程中的临床效用：来自意大利社区环境的结果。
J Perianesth Nurs. 2014 Jun;29(3):185-90. doi: 10.1016/j.jopan.2013.07.008.
10
Myocardial injury after noncardiac surgery: a large, international, prospective cohort study establishing diagnostic criteria, characteristics, predictors, and 30-day outcomes.非心脏手术后心肌损伤：一项大型国际前瞻性队列研究，确立了诊断标准、特征、预测因素和 30 天结局。
Anesthesiology. 2014 Mar;120(3):564-78. doi: 10.1097/ALN.0000000000000113.