Angiologie : Libre accès
Libre accès

Abstrait

Comparison of Spinal or General Anesthesia for Cardiac Complications with Using High Sensitive Cardiac Troponins in Non-cardiac Surgeries

Candan Mansuroglu, Turan Turhan, Ender Ornek, Nurcan Yildiz, Dilsen Ornek, Esin Calci, Can Cigirgan and Onur Karaca

Objective: There is uncertainty of prognostic value of serum high sensitive cardiac troponin (hs-cTns) measurement after non-cardiac surgery and which anesthetic method cause more harmful cardiac event. Even silent cardiac complications can be detected by monitoring hg-cTns measurements after non-cardiac surgery. In this study we aimed to show the role of cardiac troponins that are preferred markers of their high specificity and sensitivity instead of classical markers such as creatine kinase MB.

Methods: The study group included 86 preoperative non- cardiac surgery patients that were separated randomly into the general or spinal anesthesia groups. We obtained patients 12 lead electrocardiograms and hs-cTns on the operation day and post operation 1, 2 and 3 days.

Results: In both groups all patients had a low level of hs-cTnT concentrations but didn’t have any cardiac complication. In spinal anesthesia group there is slight increase near significant hs-cTnT on postoperative third day.

Conclusion: In this study we wanted to show we wanted to show which anesthetic method is safer for cardiac tissue by monitoring serum hs- cTns.