The place of cardiac troponin assessment in perioperative management: a narrative review

Keywords:

Cardiac troponins, myocardial injury, non-cardiac surgery, perioperative diagnosis, perioperative management, cost-effectiveness


Published online: Mar 19 2025

https://doi.org/10.56126/76.1.06

S. De Hert1, W. Neiva de Paula-Garcia2

1 Department of Basic and Applied Medical Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
2 AC Camargo Cancer Center, São Paolo, Brazil

Abstract

The recent 2022 European Society of Cardiology Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery emphasize the role of cardiac troponin assessment in the evaluation and management of potential perioperative myocardial injury. This central role is however challenged. The current contribution assesses the current knowledge on the place of cardiac troponin in the assessment of perioperative myocardial injury in non-cardiac surgery patients. Additionally, it explores the implications of routine cardiac troponin surveillance for healthcare systems, focusing on costs, resource allocation, and organisational challenges.

ActaAnaestBelg-76-1-cover

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Volume 76, issue 1.

Mar 2025.

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