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Revista Cubana de Anestesiología y Reanimación

2012, Number 2

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Revista Cubana de Anestesiología y Reanimación 2012; 11 (2)

Cerebral natriuretic peptide and its pro-hormone as predictor of cardiovascular risk in non-cardiac surgery

Correa PJM

Language: Spanish
References: 42
Page:
PDF size: 46.87 Kb.


ABSTRACT

Introduction: The prevalence of the cardiovascular disease increases with age and the major non-cardiac surgery is associated with a high risk of early cardiovascular complications.
Objectives: To make an updating on the usefulness of the cerebral natriuretic peptide and the terminal fraction of its pro-hormone as a predictor of the cardiovascular risk in non-cardiac surgery.
Development: Traditionally is has been proposed that the imbalance among factors modifying the contribution/consumption of 02 at myocardial level, as well as the hemoglobin levels and the plate vulnerability are the factor with a great incidence in the appearance of perioperative cardiac complications. In past years, the usefulness of both peptides in diagnosis and prognosis of patients presenting with a cardiac failure, have lead to a great interest on its potential use as prognosis in the appearance of postoperative cardiovascular complications.
Complications: Both natriuretic peptides are a significant tool in prediction or cardiovascular morbility and mortality in non-cardiac surgery and also are independent cardiovascular risk factors with a high sensitivity and specificity.


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