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- W1990269667 abstract "La nécrose myocardique liée à une ischémie définit l’infarctus du myocarde. Le biomarqueur de référence est la troponine. Les infarctus du myocarde postopératoires sont le plus souvent secondaires à une ischémie due soit à une augmentation des besoins en oxygène, soit à la diminution des apports, ils sont parfois liés à un évènement coronaire (rupture de plaque, thrombose). La plupart des infarctus du myocarde postopératoires surviennent dans les 48 premières heures après la chirurgie. La plupart sont asymptomatiques. Toute élévation de troponine postopératoire représente un facteur de risque de mortalité à court, moyen et long terme. Le dosage de la troponine ultrasensible augmente le nombre de patients ayant un taux détectable et peut amener à la redéfinition du dommage myocardique Myocardial infarction is defined by myocardial cells necrosis related to ischemia. The elevation of the plasma concentration of troponin is the biomarker of myocardial cells damage. Postoperative myocardial infarctions are more frequently related to myocardial ischemia due to increased oxygen consumption or decreased supply, but coronary artery thrombosis of plaque rupture may also be the cause. Most of postoperative myocardial infarction are asymptomatic and occur within the first 48 hours. Any increase in troponin plasma concentration must be considered as a risk factor of short, medium and long-term mortality. Ultrasensitive troponin I assay increases the number of postoperative patients with detected troponin plasma concentration leading to reconsider the definition of myocardial damage" @default.
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- W1990269667 date "2014-04-01" @default.
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- W1990269667 title "Qu’est-ce qu’un infarctus périopératoire ?" @default.
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- W1990269667 doi "https://doi.org/10.1016/j.pratan.2014.02.007" @default.
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