The Role of Modern Cardiac-Specific Biomarkers in Assessing the Risk of Developing Complications of Cardiovascular Diseases During Surgical Operations Not Related to Cardiac Intervention

E. Alimova, S. Gilyarevsky, K. Eruslanova, Yulia V. Kotovskaya
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Abstract

Despite significant tactic’s improvements of perioperative management of patients undergoing non-cardiac surgery, there is still a high incidence of postoperative complications. So more accurate risk stratification is necessary before surgery in order to possibly reduce such risk. In addition to assessing the risk associated with surgery, the risk associated with the patient, which may be due to the presence of certain diseases, primarily cardiovascular, is also assessed. There are currently evidences of the validity of determining the level of biomarkers in the blood in certain groups of patients during operations not related to cardiac intervention, which makes it possible to clarify the scope of necessary diagnostic interventions in preparation for surgery, as well as to diagnose complications of heart disease in the postoperative period.
现代心脏特异性生物标记物在评估与心脏介入无关的外科手术期间心血管疾病并发症风险中的作用
尽管对非心脏手术患者的围手术期管理在战术上有了重大改进,但术后并发症的发生率仍然很高。因此,有必要在手术前进行更准确的风险分层,以降低风险。除了评估与手术相关的风险外,还要评估与患者相关的风险,这可能是由于患者患有某些疾病,主要是心血管疾病。目前有证据表明,在进行与心脏介入无关的手术时,测定某些组别患者血液中的生物标志物水平是有效的,这样就有可能明确手术准备过程中必要的诊断干预范围,以及诊断术后心脏病并发症。
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