• Kristin H J M Mol, Sanne E Hoeks, Nicolas M van Mieghem, Verhagen Hence J M HJM Department of Vascular Surgery, Erasmus University Medical Center, Rotterdam, the Netherlands., Eric Boersma, Robert Jan Stolker, and Felix van Lier.
• Department of Anaesthesia, Erasmus University Medical Center, Rotterdam, the Netherlands.
• Br J Anaesth. 2019 Nov 1; 123 (5): 565-569.

AbstractThis case series presents 10 patients undergoing vascular surgery with asymptomatic elevated high-sensitivity troponin T concentrations, measured at outpatient clinic before surgery. Patients were included in the RAVE (Rotterdam Antiplatelet therapy in Vascular patiEnts) pilot study. All included patients underwent coronary angiography before surgery to identify significant obstructive coronary artery disease. We identified five out of 10 patients with high-grade stenosis and high-risk angiographic features of left main and/or proximal left anterior descending coronary artery disease. The study was terminated prematurely before any subject reached the study endpoint of 1 yr follow-up. This case series provides more insight into the meaning of preoperative troponin elevation and coronary angiographic features in vascular surgery patients. TRIAL REGISTRY NUMBER: NL5803.Copyright © 2019 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.

21 keywords...

hide…