Diagnosis and Management of Patients With Myocardial Injury After Noncardiac Surgery
Published: October 04, 2021
- This scientific statement offers a clinical perspective of myocardial injury after non-cardiac surgery (MINS), which discusses the definition, epidemiology, pathophysiology, prognosis, and management of MINS, and future directions for research.
- MINS is an important clinical diagnosis defined by an elevation of cardiac troponin after non-cardiac surgery, with or without ischemic symptoms or electrocardiographic abnormalities, after the exclusion of alternate non-ischemic causes of troponin elevation.
- MINS was first described in 2014 and is a relatively new clinical diagnosis. There are still clinically relevant questions regarding MINS pathophysiology, pre-operative risk stratification, and post-operative management. Efforts to improve recognition and understanding of MINS help improve post-operative outcomes after non-cardiac surgery.
Supporting Materials
- Commentary: Conundrums in Perioperative Myocardial Injury by Danielle Menosi Gualandro, MD, PhD
- Top Things to Know: Diagnosis and Management of Patients With Myocardial Injury After Noncardiac Surgery
Recommended Reading
- 2014 Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery
- 2014 AHA/ACC Guideline for the Management of Patients With Non–ST-Elevation Acute Coronary Syndromes
- 2013 Guideline for the Management of ST-Elevation Myocardial Infarctions
- Fourth Universal Definition of Myocardial Infarction