Table 3 Consultations, interventions, and causes of troponin elevation assigned by the dedicated anesthesiologist, dependent on the height of troponin elevation
TnI 18–119 ng L−1 | TnI 120–599 ng L−1 | TnI ≥ 600 ng L−1 | |
|---|---|---|---|
N | 543 | 192 | 76 |
Consultation (%) | |||
No visit, advice only | 28 (5.2) | 4 (2.1) | 3 (3.9) |
Only 1-time visit | 186 (34.3) | 90 (46.9) | 39 (51.3) |
> 1 visit | 88 (16.2) | 49 (25.5) | 22 (28.9) |
Any diagnostics ordered (%) | 207 (38.1) | 126 (65.6) | 48 (63.2) |
ECG | 201 (37.0) | 120 (62.5) | 47 (61.8) |
Echocardiography | 3 (0.6) | 19 (9.9) | 26 (34.2) |
CT angiography | 2 (0.4) | 3 (1.6) | 4 (5.3) |
Additional troponin | 76 (14.0) | 61 (31.8) | 38 (50.0) |
Other enzymes (i.e., CK-MB) | 23 (4.2) | 43 (22.4) | 36 (47.4) |
Other specialty consulted (%) | |||
Cardiology | 39 (7.2) | 65 (33.9) | 51 (67.1) |
Pulmonology | 5 (0.9) | 2 (1.0) | 0 (0.0) |
Othera | 6 (1.1) | 2 (1.0) | 0 (0.0) |
Cardiology already involved (%) | 57 (10.5) | 46 (24.0) | 21 (27.6) |
Any change in treatment (%) | 55 (10.1) | 47 (24.5) | 29 (38.2) |
Change in medication | 24 (4.4) | 26 (13.5) | 24 (31.6) |
Red blood cell transfusion | 6 (6.6) | 28 (14.6) | 14 (18.4) |
Follow up at outpatient cardiac clinic (%) | 73 (13.4) | 64 (33.3) | 50 (65.8) |
Cause of myocardial injury (%) | |||
Ischemic heart disease | 6 (1.1) | 12 (6.2) | 28 (36.8) |
Arrhythmia | 22 (4.1) | 8 (4.2) | 0 (0.0) |
Congestive heart failure | 6 (1.1) | 2 (1.0) | 3 (3.9) |
Pulmonary embolism | 4 (0.7) | 1 (0.5) | 2 (2.6) |
Pneumonia | 7 (1.3) | 4 (2.1) | 0 (0.0) |
Respiratory failure | 11 (2.0) | 9 (4.7) | 1 (1.3) |
Sepsis | 9 (1.7) | 6 (3.1) | 2 (2.6) |
Acute kidney injury | 31 (5.7) | 6 (3.1) | 0 (0.0) |
Anemia | 15 (2.8) | 8 (4.2) | 4 (5.3) |
Fluid overload | 4 (0.7) | 4 (2.1) | 0 (0.0) |
Hypertension | 6 (1.1) | 3 (1.6) | 0 (0.0) |
Perioperative hemodynamicsb | 66 (12.2) | 37 (19.3) | 9 (11.8) |
Otherc | 15 (2.8) | 8 (4.2) | 3 (3.9) |
Cause unknown | 341 (62.8) | 84 (43.8) | 24 (31.6) |