VASCULAR SURGERY AND MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY (MINS): LITERATURE REVIEW
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.361 |
Resumo: | INTRODUCTION: After noncardiac surgery, cardiac complications are common. Recently there is one that has gained notoriety as risk factor for cardiovascular morbidity and mortality, myocardial injury after noncardiac surgery (MINS). It has an estimated incidence of 8% and is associated with an increased risk of major adverse cardiovascular events (MACE). Thus, the aim of this paper is to review the available literature regarding MINS in Vascular Surgery. METHODS: A Medline search was performed in order to identify articles focused on MINS and its pathophysiology and effect on outcomes in Vascular Surgery. Additional articles of scientific interest for the purpose of this non-systematic review were included by cross-referencing. RESULTS: The incidence of MINS in Vascular Surgery is of at least 15%, higher than in other surgical specialties. As in other areas, MINS has been identified as a risk factor for cardiovascular morbidity and mortality in patients submitted to a vascular surgery. Meanwhile, troponin measurement in the post-operative period is only recommended in high risk patients. Despite the lack of consensus regarding protective factors, dabigatran and statins have showed potential as treatment after the diagnosis of MINS. CONCLUSION: The available evidence identifies MINS as a factor that carries significant worse outcomes in patients that underwent a vascular surgery, although it remains a largely unexplored area. |
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VASCULAR SURGERY AND MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY (MINS): LITERATURE REVIEWCIRURGIA VASCULAR E LESÃO MIOCÁRDICA APÓS CIRURGIA NÃO CARDÍACA (MINS): REVISÃO DA LITERATURAVascular SurgeryMyocardial injury after noncardiac surgeryperipheral artery diseasecarotid endarterectomyCirurgia VascularLesão miocárdica após cirurgia não cardíacaDoença Arterial PeriféricaEndarterectomia carotídeaINTRODUCTION: After noncardiac surgery, cardiac complications are common. Recently there is one that has gained notoriety as risk factor for cardiovascular morbidity and mortality, myocardial injury after noncardiac surgery (MINS). It has an estimated incidence of 8% and is associated with an increased risk of major adverse cardiovascular events (MACE). Thus, the aim of this paper is to review the available literature regarding MINS in Vascular Surgery. METHODS: A Medline search was performed in order to identify articles focused on MINS and its pathophysiology and effect on outcomes in Vascular Surgery. Additional articles of scientific interest for the purpose of this non-systematic review were included by cross-referencing. RESULTS: The incidence of MINS in Vascular Surgery is of at least 15%, higher than in other surgical specialties. As in other areas, MINS has been identified as a risk factor for cardiovascular morbidity and mortality in patients submitted to a vascular surgery. Meanwhile, troponin measurement in the post-operative period is only recommended in high risk patients. Despite the lack of consensus regarding protective factors, dabigatran and statins have showed potential as treatment after the diagnosis of MINS. CONCLUSION: The available evidence identifies MINS as a factor that carries significant worse outcomes in patients that underwent a vascular surgery, although it remains a largely unexplored area.INTRODUÇÃO: As complicações cardiovasculares são das mais frequentes após cirurgias não cardíacas. Entre elas, a lesão miocárdica após cirurgias não cardíaca (MINS) tem ganho relevância como fator de risco para morbi-mortalidade cardiovascular no período pós-operatório. Apresenta uma incidência estimada de 8% após cirurgia não cardíaca e está associada a um risco 5 vezes maior de ocorrência de eventos cardiovasculares major (MACE). O objetivo deste trabalho é realizar uma revisão da literatura disponível da MINS no contexto da Cirurgia Vascular MÉTODOS: Foi realizada uma pesquisa na Medline com o objetivo de identificar artigos relacionados com a patofisiologia da MINS e o seu significado no contexto específico de Cirurgia Vascular. Artigos considerados relevantes para o tema em questão foram também analisados para esta revisão não-sistemática e incluídos por cruzamento de referências. RESULTADOS: A MINS na Cirurgia Vascular tem uma incidência estimada de pelo menos 15%, sendo superior à média das outras especialidades. Tal como nas restantes áreas, tem sido validada como fator de risco para morbi-mortalidade cardiovascular. No entanto, o seu rastreio por rotina apenas está recomendado em doentes com alto risco cardíaco. Apesar de a medidas de prevenção não serem consensuais, o dabigatrano e a estatinas demonstraram potencial na reversão do prognóstico a longo prazo desta população. CONCLUSÃO: Com base na evidência disponível, o diagnóstico de MINS em doentes submetidos a uma cirurgia vascular está associado a um aumento do risco dos efeitos adversos e mortalidade. No entanto, esta permanece uma área ainda por explorar na Cirurgia Vascular.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2021-12-24T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.361oai:ojs.acvjournal.com:article/361Angiologia e Cirurgia Vascular; Vol. 17 No. 3 (2021): September; 259-263Angiologia e Cirurgia Vascular; Vol. 17 N.º 3 (2021): Setembro; 259-2632183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://acvjournal.com/index.php/acv/article/view/361https://doi.org/10.48750/acv.361http://acvjournal.com/index.php/acv/article/view/361/261Copyright (c) 2021 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessNóbrega, LeandroPereira-Macedo, JulianaMachado, NeuzaPereira-Neves, AntónioFerreira, VitorOliveira-Pinto, JoséDias-Neto, MarinaRocha-Neves, JoãoTeixeira, José2022-05-23T15:10:11Zoai:ojs.acvjournal.com:article/361Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T14:57:42.972412Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
VASCULAR SURGERY AND MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY (MINS): LITERATURE REVIEW CIRURGIA VASCULAR E LESÃO MIOCÁRDICA APÓS CIRURGIA NÃO CARDÍACA (MINS): REVISÃO DA LITERATURA |
title |
VASCULAR SURGERY AND MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY (MINS): LITERATURE REVIEW |
spellingShingle |
VASCULAR SURGERY AND MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY (MINS): LITERATURE REVIEW Nóbrega, Leandro Vascular Surgery Myocardial injury after noncardiac surgery peripheral artery disease carotid endarterectomy Cirurgia Vascular Lesão miocárdica após cirurgia não cardíaca Doença Arterial Periférica Endarterectomia carotídea |
title_short |
VASCULAR SURGERY AND MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY (MINS): LITERATURE REVIEW |
title_full |
VASCULAR SURGERY AND MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY (MINS): LITERATURE REVIEW |
title_fullStr |
VASCULAR SURGERY AND MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY (MINS): LITERATURE REVIEW |
title_full_unstemmed |
VASCULAR SURGERY AND MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY (MINS): LITERATURE REVIEW |
title_sort |
VASCULAR SURGERY AND MYOCARDIAL INJURY AFTER NONCARDIAC SURGERY (MINS): LITERATURE REVIEW |
author |
Nóbrega, Leandro |
author_facet |
Nóbrega, Leandro Pereira-Macedo, Juliana Machado, Neuza Pereira-Neves, António Ferreira, Vitor Oliveira-Pinto, José Dias-Neto, Marina Rocha-Neves, João Teixeira, José |
author_role |
author |
author2 |
Pereira-Macedo, Juliana Machado, Neuza Pereira-Neves, António Ferreira, Vitor Oliveira-Pinto, José Dias-Neto, Marina Rocha-Neves, João Teixeira, José |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Nóbrega, Leandro Pereira-Macedo, Juliana Machado, Neuza Pereira-Neves, António Ferreira, Vitor Oliveira-Pinto, José Dias-Neto, Marina Rocha-Neves, João Teixeira, José |
dc.subject.por.fl_str_mv |
Vascular Surgery Myocardial injury after noncardiac surgery peripheral artery disease carotid endarterectomy Cirurgia Vascular Lesão miocárdica após cirurgia não cardíaca Doença Arterial Periférica Endarterectomia carotídea |
topic |
Vascular Surgery Myocardial injury after noncardiac surgery peripheral artery disease carotid endarterectomy Cirurgia Vascular Lesão miocárdica após cirurgia não cardíaca Doença Arterial Periférica Endarterectomia carotídea |
description |
INTRODUCTION: After noncardiac surgery, cardiac complications are common. Recently there is one that has gained notoriety as risk factor for cardiovascular morbidity and mortality, myocardial injury after noncardiac surgery (MINS). It has an estimated incidence of 8% and is associated with an increased risk of major adverse cardiovascular events (MACE). Thus, the aim of this paper is to review the available literature regarding MINS in Vascular Surgery. METHODS: A Medline search was performed in order to identify articles focused on MINS and its pathophysiology and effect on outcomes in Vascular Surgery. Additional articles of scientific interest for the purpose of this non-systematic review were included by cross-referencing. RESULTS: The incidence of MINS in Vascular Surgery is of at least 15%, higher than in other surgical specialties. As in other areas, MINS has been identified as a risk factor for cardiovascular morbidity and mortality in patients submitted to a vascular surgery. Meanwhile, troponin measurement in the post-operative period is only recommended in high risk patients. Despite the lack of consensus regarding protective factors, dabigatran and statins have showed potential as treatment after the diagnosis of MINS. CONCLUSION: The available evidence identifies MINS as a factor that carries significant worse outcomes in patients that underwent a vascular surgery, although it remains a largely unexplored area. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-24T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.361 oai:ojs.acvjournal.com:article/361 |
url |
https://doi.org/10.48750/acv.361 |
identifier_str_mv |
oai:ojs.acvjournal.com:article/361 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/361 https://doi.org/10.48750/acv.361 http://acvjournal.com/index.php/acv/article/view/361/261 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 17 No. 3 (2021): September; 259-263 Angiologia e Cirurgia Vascular; Vol. 17 N.º 3 (2021): Setembro; 259-263 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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