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Scientific Analysis of Myocardial Injury in Perioperative Period

2019.09.19 / Thursday

Scientific Analysis of Myocardial Injury in Perioperative Period

Myocardial injury in a broad sense refers to the pathological conditions such as hypertrophy and necrosis of myocardial cells due to ischemia and inflammation, which can be collectively referred to as myocardial injury.

During perioperative period, which patients is the high risk parts of myocardial injury during perioperative period of non-cardiac surgery?

For high-risk patients, what is the most important measure to prevent perioperative myocardial injury?

Preoperative patients with severe cardiovascular disease(CVD) belong to patients at high risk of perioperative myocardial injury, such as unstable angina pectoris(UAP), myocardial infarction with chronic heart failure, severe arrhythmia, although daily activities cardiac function can be compensated, but these patients underwent surgery after traumatic blow in perioperative, especially in recovery time, myocardial injury is very easy to occur.

The organ function of elderly patients is very fragile, and they are also at high risk of perioperative myocardial injury.

If the surgery itself is relatively traumatic, especially for major surgery, emergency surgery, or macrovascular surgery, the incidence of myocardial injury in perioperative patients is also very high.

For these high-risk patients, we suggest to implement a comprehensive monitoring system from the early perioperative period, including respiration, pulse, blood pressure, and  temperature monitoring. 

It is recommended to use a medical temperature probe to monitor the temperature of patients because it can provide real-time feedback of temperature data, so as to facilitate follow-up diagnosis and treatment by doctors.