Surgical Management in Patients with Cardiovascular Complications - Pubrica
                     Surgical Management in Patients with Cardiovascular Complications: 
Exemplary Introduction Section of your Literature Review 
 
Dr. Nancy Agens, Head, 
Technical Operations, Pubrica 
[email protected] 
 
I. INTRODUCTION markers primarily called the cardiac-
 specific troponins are vital[Importance of 
Surgical management of disease has a the study]. Though, the appropriate cut-
tremendous impact on our health off levels for detecting myocardial damage 
system.Despite increasingly sophisticated using troponins in a surgical setting are 
management during the period of a debated. Elevated troponin with or without 
patient's surgical procedure; cardiovascular clinical or ECG signs of ischaemia are 
complications continue to be major known to be associated with poor outcome 
challenges for the clinician. As a growing both in patients with acute coronary 
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number of elderly patients with known syndrome  as well as patients undergoing 
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coronary artery disease (CAD) or with risk non-cardiac surgery .[Introduction to 
factors for CAD are undergoing non- the review] This systematic review will 
cardiac surgery, cardiovascular provide information and recommendations 
complications will remain a significant based on current guidelines related to 
clinical problem in the future. The number perioperative evaluation and management 
says approximately 100 million adults including perioperative cardiac risk 
undergo non-cardiac surgery worldwide evaluation and assessment of functional 
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yearly  and up to 40% of these patients capacity, role of ancillary preoperative 
have or are at risk of coronary artery cardiac evaluation, recommendations 
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disease (CAD) . Four million patients per related to perioperative medical therapy, 
year have been sketched to have a major perioperative cardiac intervention 
perioperative cardiovascular complication, including management of patients with 
including cardiac death, non-fatal prior coronary intervention, perioperative 
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myocardial infarction or cardiac arrest . In anticoagulant therapy, intraoperative 
high-risk patients, the incidence of major monitoring, and postoperative evaluation 
perioperative cardiac complications varies and management. 
from 4 to 25 % depending on patient This blog has been contributed by Pubrica 
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population and type of surgery . Expert.  
Medical research studies have  
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shown that15-25% of in-hospital  
mortality occurs due to   perioperative  
myocardial infarction (PMI). The absence  
of primary symptoms in the perioperative  
period leads to the difficulty to detect PMI  
may be the major reason for these high  
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mortality rates . It was reported that  
hardly only 14% of the patients with a 
PMI have typical chest pain and 
consequently 53% of the PMI will not be 
diagnosed if the physician relies only on 
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symptoms or clinical signs .  
Therefore,for detecting 
perioperative myocardial damage cardiac 
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