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Topics:
General Internal Medicine • Cardiology • Hospital Medicine • Peri-Operative Medicine • General Hospital Medicine
What is your approach to checking preoperative cardiac biomarkers such as troponin and BNP?
Do you find them more helpful as predictors of perioperative risk or as a baseline to detect post-operative adverse cardiac events?
Answer from: at Academic Institution
While now recommended as a means of risk stratification for those over 65 years with cardiac risk factors across all three guidelines (AHA/ACC, CCS, ESC), we mostly reserve the use of biomarkers preoperatively for patients in whom we are on the fence for obtaining additional cardiac workup. We view ...
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