Dr. Nancy Agens, Head,
tremendous impact on our health
system.Despite increasingly sophisticated
patient's surgical procedure; cardiovascular
challenges for the clinician. As a growing
number of elderly patients with known
coronary artery disease (CAD) or with risk
factors for CAD are undergoing non-
cardiac surgery, cardiovascular
clinical problem in the future. The number
says approximately 100 million adults
undergo non-cardiac surgery worldwide
have or are at risk of coronary artery
disease (CAD) 2
perioperative cardiovascular complication,
. In
perioperative cardiac complications varies
population and type of surgery 3-5
.
of primary symptoms in the perioperative
period leads to the difficulty to detect PMI
may be the major reason for these high
mortality rates 10
PMI have typical chest pain and
consequently 53% of the PMI will not be
diagnosed if the physician relies only on
symptoms or clinical signs 11
.
specific troponins are vital[Importance of
the study]. Though, the appropriate cut-
off levels for detecting myocardial damage
using troponins in a surgical setting are
debated. Elevated troponin with or without
clinical or ECG signs of ischaemia are
known to be associated with poor outcome
both in patients with acute coronary
syndrome 12
non-cardiac surgery 13, 14
provide information and recommendations
perioperative evaluation and management
including perioperative cardiac risk
cardiac evaluation, recommendations
perioperative cardiac intervention
prior coronary intervention, perioperative