Perioperative asymptomatic cardiac damage after endovascular abdominal aneurysm repair is associated with poor long-term outcome

Abstract

Asymptomatic cardiac damage in patients undergoing EVAR is associated with poor long-term outcome. Routine perioperative cardiac screening after EVAR might be warranted.

Postoperative levels of cardiac troponin versus CK-MB and high-sensitivity C-reactive protein for the prediction of 1-year cardiovascular outcome in patients undergoing vascular surgery

“…Specifically, in this study, cTnI of more than 0.6 ng/ml and/or cTnT of more than 0.03 ng/ml independently predicted a 2.15-fold and 1.89-fold increase in mortality. Winkel et al [12] confirmed these results by reporting 9% occurrence of asymptomatic cardiac damage in 220 patients undergoing endovascular aortic repair. These patients had a 2.3-fold increase for all-cause mortality during a medial follow-up of 2.9 years.…”

Preoperative statin therapy is associated with improved outcomes and resource utilization in patients undergoing aortic aneurysm repair

“…8,9 Other studies examining statins specifically in elective AAA repair are few and retrospective in nature. [10][11][12] Most studies of statins and AAA are observational and investigate AAA surveillance and examine aortic growth rates in patients with and without statin therapy. [13][14][15][16] Furthermore, none examine the financial effect of these lipid-lowering agents, whose continued use in noncardiac surgery is advocated in the American Heart Association guidelines.…”

Infarto agudo do miocárdio após operações não cardíacas

“…Although the isolated elevation of troponin also has implications on long-term prognosis, the patient should not receive treatment for AMI, but undergo additional cardiological stratification before hospital discharge 32,36,77 .…”