Home

Levels of high-sensitivity troponin I after cardiac surgery that were associated with an increased risk of death within 30 days were substantially higher than levels currently recommended to define clinically important periprocedural myocardial injury, a study in the New England Journal of Medicine has concluded.

Investigators described the finding as a “landmark” for care of patients following cardiac surgery, as it provides a marker that is fast and reliable for monitoring their recovery and could help timing procedures to improve outcomes.

The VISION study, international prospective cohort study, assessed patients undergoing cardiac surgery, measuring troponin levels were obtained three to 12 hours after surgery and on days one, two, and three after their procedure, and assessing death and the incidence of major vascular complications.

The research team, which was led by PJ Devereaux (McMaster University, Ontario, Canada), performed Cox analyses using a regression spline that explored the relationship between peak troponin measurements and 30-day mortality, adjusting for scores on the European System for Cardiac Operative Risk Evaluation II which estimates the risk of death after cardiac surgery on the basis of 18 variables, including age and sex.

The study involved 15,984 adult patients with an average age just over 63 years undergoing cardiac surgery. Patients were from 12 countries, with more than a third of the countries being outside of North America and Europe.

Investigators found that by 30 days after heart surgery, 2.1% of patients had died, and 2.9% had experience a major vascular complication, such as heart attack, stroke, or life-threatening blot clot.

“We found that the levels of troponin associated with an increased risk of death within 30 days were substantially higher—200 to 500 times the normal value—than troponin levels that surgical teams are currently told defines the risk of a patient having one of the most common complications after heart surgery—myocardial injury, a heart muscle injury associated with increased deaths,” said Devereaux.

“This study is a landmark for the health teams taking care of patients after cardiac surgery. For the first time, we have a marker that is fast and reliable for the monitoring of these patients after cardiac surgery,” said André Lamy, a study investigator.

“Our findings will help further studies look at the timing of treatments and procedures to improve patient outcomes after heart surgery,” said investigator Richard Whitlock.

Source CardiovascularNews

Duc Tin Clini

Chia sẽ qua facebook bài: VISION study concludes troponin is a benchmark for cardiac surgery risk

Chia sẽ qua google bài: VISION study concludes troponin is a benchmark for cardiac surgery risk

Chia sẽ qua twitter bài: VISION study concludes troponin is a benchmark for cardiac surgery risk

Chia sẽ qua MySpace bài: VISION study concludes troponin is a benchmark for cardiac surgery risk

Chia sẽ qua LinkedIn bài: VISION study concludes troponin is a benchmark for cardiac surgery risk

Chia sẽ qua stumbleupon bài: VISION study concludes troponin is a benchmark for cardiac surgery risk

Chia sẽ qua icio bài: VISION study concludes troponin is a benchmark for cardiac surgery risk

Chia sẽ qua digg bài: VISION study concludes troponin is a benchmark for cardiac surgery risk

Chia sẽ qua yahoo bài: VISION study concludes troponin is a benchmark for cardiac surgery risk

Tin tức liên quan

Enrolment reaches midway point in trial of Early Bird bleed monitoring system

Eight-fold increased risk of heart attack seen in patients with subclinical obstructive coronary atherosclerosis

ACC 2023: REVIVED-BCIS-2 results challenge “long-held beliefs” on myocardial viability testing prior to PCI

Blood pressure successfully cut in RADIANCE II ultrasound renal denervation trial

New data examine mortality rates and cardiac damage in early-stage aortic stenosis patients

SUPPORT CONSULTANT

Make an Appointment

I am Nguyen Thanh Sang, born in 1990. Since the examination and treatment at the clinic Duc Tin, I am very grateful to the Doctor for explaining and sharing about my illness. During the treatment time in the clinic I was very caring staff of the clinic. Now my illness has improved in a good way. Expect more and more clinic to be able to save many patients.

I sincerely thank you !. Tel: 0938303275

Huynh Thi Muoi, born in 1940, was examined and treated at Duc Tin Clinic. I am very pleased about how to serve and care patients of the clinic. The doctor is committed to explaining and sharing with the patient.

Huynh Thi Muoi sincerely thank you! Phone number: 0972868746

As I said Duc Tin surgical clinin is where my family trust, hope to visit. Physicians caring, thoughtful, gentle to the patient. Nurses and staff clinic polite, cheerful and thoughtful. This clinic clean, sterile, so I would love to. Tel: +84949914060.

The doctor is very caring, attentive and very gentle nurse, courteous, affable with me. The clinic is clean, comfortable, polite. I enjoyed this faith. Every visit I was very relieved disease. Tel: 0839820792.

I was patient, had to clinics of Dr. Le Duc Tin. I see very conscientious doctor patient care, answer any questions and very dedicated staff from the receptionist to the children tested, nursing. Clinics very clean and spacious. I'm very satisfied. Tel: +841227880829.