在手术前心脏检测方面有什么新鲜事?
Murad Elias1, Vahé S Tateosian1, Deborah C Richman1
1Department of Anesthesiology, Renaissance School of Medicine at Stony Brook University, Health Sciences Center, Level 4, 101 Nicolls Road, Stony Brook, NY 11794-8480, USA.
Anesthesiology clinics
|January 26, 2024
概括
数以百万计的手术涉及老年患者的伴随性疾病,增加心血管风险. 更新的指导方针和新测试,如NT-proBNP和热素,有助于术前心脏评估和预防术后心肌损伤.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 老年医学 老年医学
背景情况:
- 全球每年有超过3亿次手术.
- 人口老龄化和并发症增加了外科手术期间心血管风险.
- 目前关于手术前心脏评估的指导方针上一次更新是在2014年.
研究的目的:
- 审查目前手术前心脏评估的策略.
- 讨论非心脏手术的风险分层工具.
- 突出新型生物标志物在术后心脏护理中的作用.
主要方法:
- 审查现有的文献和临床指南.
- 对风险分层工具的分析.
- 讨论实验室测试,包括NT-proBNP和热素.
主要成果:
- 存在多种风险分层工具来指导外科手术期间的管理.
- 新的实验室测试可以帮助识别和管理外科手术期间心肌损伤.
- 需要更新指南,以反映当前的知识.
结论:
- 对高风险手术患者来说,全面的手术前心脏评估至关重要.
- 新兴生物标志物为改善术后心脏事件的诊断和预防提供了潜力.
- 整合更新的指导方针和先进的诊断可以优化患者的结果.
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