<![CDATA[Penyakit jantung iskemik sering memberikan gambaran dan perkembangan yang membahayakan. Kejadian dari tahun ke tahun terus meningkat dan menyumbang angka mortalitas yang tinggi. Angina pectoris, gambaran iskemia pada EKG, dan peningkatan petanda jantung menunjukkan terjadinya infark miokard akut. Pasien dalam kondisi demikian sangat berisiko untuk menjalani proses pembiusan. Pemeriksaan troponin bersenstivitas tinggi telah diperkenalkan, namun hal ini memberikan tantangan yang baru dalam hal sensitivitas vs spesivisitas. Berbagai panduan telah diterbitkan untuk memandu dokter ahli anestesi melewati rintangan risiko pada penderita dengan iskemia miokard.
Kata kunci: Anestesi, iskemia miokardium, troponin
Troponin and Perioperative Management in Iskemia Myokard Troponin
Ischemic heart disease often develop harmful conditions. Incidence from year to year continues to increase and accounted for high mortality rate. Angina pectoris, marked ECG changes and elevation of cardiac markers, especially troponins indicate the presence of acute myocardial infarct. Patients in this condition is very risky to undergo anesthesia process. High sensitivity troponin test were introduced, but it gave new challenge of sensitivity vs specificity. Guidelines have been published to guide the anesthesiologist through the obstacles of risks in patients with myocardial ischemia.
Key words: Anesthesia, myocardial ischemia, troponin
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