After major non-cardiac surgery in high-risk older adults, do you routinely check post-operative troponins to screen for myocardial injury?
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Do you routinely check post-operative troponins to screen for myocardial injury?
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2 Answers
Mednet MemberInvited Expert
Hospital Medicine · University of Chicago
Answered on
I do not routinely check postoperative troponins on every older adult after major non-cardiac surgery, but I do use them selectively in patients who are at high risk for perioperative cardiovascular complications. My practice has evolved as our understanding of myocardial injury after non-cardiac su...
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Mednet MemberInvited Expert
Hospital Medicine · Johns Hopkins Hospital
Answered on · Updated on
I actually do routinely check, although I very well may be the only one in my hospital who does.
I routinely check postoperative troponins only in a specific population: patients undergoing high-risk surgery who are themselves at elevated cardiovascular risk. In general, I use a predicted MACE risk g...
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