title: Troponin elevation after noncardiac surgery: Significance and management.
abstract: How to interpret and manage troponin elevations after noncardiac surgery is a common clinical question for cardiologists and internists. An estimated 5% to 25% of patients who undergo noncardiac surgery have an elevated postoperative troponin level. Patients with troponin elevation are at higher short-term and long-term risk of morbidity and mortality. Current guidelines provide few recommendations on how to manage these patients. The authors review the evidence and guidelines and propose treatment strategies.
authors.affiliation: Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA. E-mail: horrs@ccf.org.
authors.forename: Samuel
authors.initials: S
authors.lastname: Horr
authors.affiliation: Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Grant
authors.initials: G
authors.lastname: Reed
authors.affiliation: Departments of Cardiovascular Medicine, Diagnostic Radiology, and Critical Care, Cleveland Clinic, Cleveland, OH, USA.|Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.|Principal Investigator, Study of Ticagrelor Versus Aspirin Treatment in Patients With Myocardial Injury Post Major Non-Cardiac Surgery (INTREPID).
authors.forename: Venu
authors.initials: V
authors.lastname: Menon
mesh_terms: D015415:Biomarkers / Q000097:blood; D042241:Early Diagnosis; D006801:Humans; D009203:Myocardial Infarction / Q000097:blood / Q000175:diagnosis / Q000209:etiology; D011183:Postoperative Complications / Q000097:blood / Q000175:diagnosis; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D013514:Surgical Procedures, Operative / Q000009:adverse effects*; D014336:Troponin / Q000097:blood*
chemical_list: D015415:Biomarkers; D014336:Troponin