Troponin elevation after noncardiac surgery: Significance and management

  • Cleveland Clinic Journal of Medicine
  • September 2015,
  • 82
  • (9)
  • 595-602;
  • DOI: https://doi.org/10.3949/ccjm.82a.15076

ABSTRACT

How to interpret and manage troponin elevations after noncardiac surgery is a common clinical question for cardiologists and internists. An estimated 5% to 25% of patients who undergo noncardiac surgery have an elevated postoperative troponin level. Patients with troponin elevation are at higher short-term and long-term risk of morbidity and mortality. Current guidelines provide few recommendations on how to manage these patients. The authors review the evidence and guidelines and propose treatment strategies.

Footnotes

  • * Dr. Menon has disclosed that he has received a research grant from Astra Zeneca to conduct the INTREPID study.

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